Vertigo is the most common clinical syndrome, and with the aging of the population, the incidence of this disease is increasing, and it has received a lot of attention from the medical community at home and abroad. There is a trend that vertigo patients are gradually increasing and getting younger, but I found that many patients fail to go to the right department at first, which adds a lot of trouble to the diagnosis and treatment of the disease and has to attract our increasing attention. First of all, we should clarify the concept of vertigo, which refers to the patient’s feeling that the outside view rotates around the body, and the closed eyes feel that they want to rotate in the opposite direction. If the patient is lying down or sitting, he or she may feel the bed or seat rotating and tumbling with the body. The duration of vertigo varies from tens of minutes to several hours, and usually does not exceed several days. It can be accompanied by tinnitus and hearing loss, and is often accompanied by nausea and vomiting and other symptoms of the vegetative nervous system. This is a prominent feature of otogenic vertigo (also known as true vertigo), and more than 70% of vertigo is peripheral in nature, i.e. caused by peripheral vestibular lesions. Patients should be careful to differentiate it from pseudovertigo. Pseudovertigo (central, cerebral) is characterized by a feeling of swaying instability of external objects or oneself, or swaying from side to side or back and forth, aggravated when gazing at moving objects or in noisy environments. The symptoms are mild and the accompanying vegetative symptoms are not obvious, but they last for a long time, up to several months. According to statistics, otorhinolaryngological diseases account for more than 50% of the causes of vertigo, and common otologic diseases include Meniere’s disease (used to be called Meniere’s disease), vestibular neuronitis, sudden deafness, vaginitis, vagal concussion, etc. Patients should first visit otolaryngology to exclude otologic diseases. Therefore, most of the patients with vertigo should first consult the ENT department in order to avoid the detours. In my clinical work, I often see patients who have been seen for many times, but their condition has not been controlled, and they have been treated with infusion for several weeks, and they have undergone many physical therapy, and they have undergone countless tests, many of which are unnecessary. However, the patient was quickly relieved after treatment by our department, so many patients lamented that they should have gone to the ENT department earlier. For example, in recent years, benign paroxysmal positional vertigo, which is getting more and more attention, is not treated by infusion, but can be removed by a few simple manipulations, but the rate of clinical misdiagnosis is very high. The result is that the patient delays treatment and also suffers more pain. It seems that on the one hand, we should strengthen the education so that more patients can understand what vertigo is, and on the other hand, as doctors and hospital registration office staff should also strengthen the accumulation of comprehensive knowledge and guide patients appropriately, because if they know nothing about the disease of vertigo, it is hard to imagine how they can cure the disease.