Vestibular rehabilitation therapy is an exercised-based approach to treat individuals with vestibular hypofunction. Vestibular hypofunction may not restore fully, but central compensation in combination with sensory substitution is thought to reduce impairment and vertiginous symptom. Vestibular rehabilitation therapy can improve the functional balance, stabilize the ocular reaction and decrease the disequilibrium. The m ajor m echanism of vestibular rehabilitation therapy is thought to be compensation, adaptation, and substitution. In this article we aimed to answer several questions related to vestibular rehabilitation therapy. The questions are; what is the evidence of vestibular rehabilitation therapy, what is the indication of vestibular rehabilitation therapy, otolithic dysfunction and vestibular rehabilitation therapy, how to rehabilitate the vesibulospinal reflex, the role of virtual reality in vestibular rehabilitation therapy, the role of medication in vestibular rehabilitation therapy, difference between self directed home exercise and supervised directed exercise, optimal duration of vestibular rehabilitation therapy, and the role of vestibular therapeutist in vestibular rehabilitation therapy.