Vertigo is a symptom that many patients may encounter, often feeling spinning, forced to lie in bed and affecting life and work, and in severe cases, accompanied by cold sweats, nausea and vomiting. Patients often think they are suffering from a “serious illness” and experience psychological changes such as panic and fear. The balance of human body is maintained by the interaction of vestibular system, proprioceptive system and visual system. In addition to otorhinolaryngological diseases that can cause vertigo, medical, surgical, orthopedic, ophthalmic, obstetrical and gynecological and psychiatric diseases can also cause vertigo. Ménière’s disease is one of the common diseases that can cause vertigo symptoms. About 10% of patients with Ménière’s disease fail to respond to conservative treatment or even worsen and require surgery. Vertigo and Ménière’s disease Vertigo is a motor or positional illusion caused by the body’s impaired spatial orientation, and can be accompanied by cold sweats, nausea and vomiting. And Ménière’s disease is one of the common causes. Meniere’s disease, commonly known as Meniere’s syndrome, otalgia, vertigo, etc., is an episodic vertigo, fluctuating hearing loss and tinnitus in which the main pathological manifestation is fluid in the vagus of the inner ear. The cause of the disease is not yet clear. At present, the effective clinical treatment for Meniere’s disease is comprehensive treatment, including sedation, improvement of inner ear microcirculation and diuresis, but it cannot achieve complete cure, especially for those patients who have frequent and severe attacks and long-term conservative treatment is ineffective, and foreign practice proves that the efficiency of surgical treatment is over 90%. What tests are needed for vertigo: After the initial determination of the cause of vertigo, the corresponding physical examination and laboratory tests should be performed. The physical examination focuses on vestibular function, hearing, acoustic impedance, brainstem electrical response audiometry, neurological examination and cardiovascular system examination. Surgical treatment for refractory peripheral vertigo mainly includes endolymphatic bursa drainage, balloon dissection, vagotomy, and vestibular neurotomy via vagus or sigmoid sinus anterior and posterior, and cranial middle fossa pathways. Among them, endolymphatic bursa drainage and vestibular neurectomy are most commonly used. Endolymphatic bursa drainage is usually preferred as it is not only effective in treating Meniere’s disease, but also in intervening deafness and preventing further hearing loss in a timely manner.