The treatment of otolithosis mainly includes otolith repositioning, medication, surgery, etc., but the specific efficacy varies from person to person, and can not completely avoid recurrence, so “the best way to avoid recurrence” is not appropriate. 1. Otolith repositioning: is currently the most effective method of treatment of otolithosis. It is divided into ① manipulation: such as Epley method (mainly used in the treatment of posterior semicircular canal otolithiasis), Lempert method (mainly used in the treatment of horizontal semicircular canal otolithiasis); ② otolith resetting instrument assisted resetting. Vestibular rehabilitation training is often carried out after otolith reset to assist the treatment. 2. Drug therapy: drugs can not make the otolith reset, only used to assist in relieving dizziness, balance disorders and other symptoms. Commonly used drugs to improve the microcirculation of the inner ear, such as betahistine, ipecac, etc.. 3. Surgical treatment: less frequently used, only for otoliths that are not cured after otolith reset, seriously affecting the normal life of otolithosis patients. Most of them adopt semicircular canal occlusion surgery, posterior pudendal nerve amputation and so on. However, it should be noted that the therapeutic effect of the above methods will be affected by the individual’s physical condition and compliance, the severity of the disease and other factors, the specific therapeutic effect can be individual differences. As a disease that is prone to recurrence, there is no treatment method that can completely eliminate the possibility of recurrence of otolithiasis. Therefore, there is no such thing as “the best way to prevent recurrence”. To summarize, those who have been diagnosed with otolithiasis must choose reasonable medication and treatment under the guidance of a doctor and according to the actual situation. Do not blindly dispose of it on your own to avoid improper intervention and adverse consequences.