Vertigo, dizzeness and imbalance are common complaints of patients seen in pratice. Both of the terms are used interchangable by the patients. Most of the patients seen in a balance clinic have recurrent vertigo. Recurrent vertigo is almost never due to a serious neurological problem. It is almost always due to; benign positional vertigo, Meniere’s disease or migraine. The rest of the patients have an imbalance not vertigo. The clinicians should distinguish vertigo from imbalance, and do the proper tests for evaluating patient with vertigo. In this review, conditions causing vertigo and imbalance and evaluating patients are discussed in detail.