The vestibular system comprises of the vestibular receptors situated in the internal ear labyrinth, the vestibular nerve and the vestibular nuclei situated in the brainstem. The vestibular system controls body balance, orientation in space, head posture and viewing stabilization. Vertigo is an illusion of movement; the patient feels the space and objects to turn around him or himself moving in the space. This can be caused by a disorder in any part of the vestibular system. Benign paroxysmal positional vertigo (BPPV) is characterized by recurrent episodes of vertigo triggered by changes in head position and it is the most common etiology of recurrent vertigo. Small collections of calcium crystals, known as otoconia, are believed to be the underlying cause of BPPV. Normally, they are positioned in the labyrinth of the inner ear, specifically in the utricle. In BPPV, otoconia migrate to front and lateral semicircular canals and most commonly the posterior semicircular canal. Usual signs and symptoms include vertigo, nausea, vomiting and nystagmus that can be spontaneous or pseudospontaneous in BPPV lateral semicircular canal (HC-BPPV). HC-BPPV is diagnosed by performing the Supine-roll maneuver. There are different reposition maneuvers that are used for HC-BPPV treatment.