Vestibular Rehabilitation Therapy (VRT) is used by audiologists, physical and occupational therapists, and physicians as an efficacious treatment and management strategy for patients with noncompensated vestibular dysfunction secondary to a vestibular disease or disorder. Although vestibular rehabilitation techniques were first reported over a half-century ago, it has been in the past decade that these techniques have become a widely accepted nonmedical or nonsurgical treatment strategy for patients with chronic and often debilitating symptoms. The use of diagnosis-based strategies or individualized and programmatic therapy protocols and programs has been documented as providing the best treatment outcomes. Critical decision analysis and clinical pathways provide a straightforward method for clinicians in the identification and treatment of this population.