This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage vertigo — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a 54-year-old woman who, for the last few days, has been feeling 'dizzy', the symptoms that point towards true vertigo. Vertigo is an abnormal sensation of movement, when at rest or with movement, as if the room is spinning or the patient is tilting or moving in an unintentional way. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.