Meneirs disease is inner ear disease characterized by episodic vertigo, fluctuating hearing loss and tinnitus. The pathophysiology of the disease is obscure but theories postulated and stated that, due to decreased absorption or increased secretion of endolymphatic fluid in membranous labyrinth of the inner ear leads to pressure increase thus manifests the disease. There is no promising cure to this disease in conventional science only with life style adjustments, low salt diet, diuretics and surgery are used to manage the condition. The present case study patient with meniers disease was successfully managed with ayurveda treatment. A 55yrs old male patient complained of giddiness, reduced hearing and tinnitus since 9months which was hampering his daily activities was treated with panchakarma procedures and internal medicines. The exact meniers disease is not mentioned in samhitas but on the basis of symptoms and dosha predominance it is considered as vata-pitta pradhana tridoshaja vyadhi. As per dosha predominance it is treated with virechana (Purgation), Pratimarsha nasya (nasal medication) and internal medicines with Dhanadhanyadi kashaya, Cap ksheerabala and cap palsineuron, Tab Kamaduga rasa was administered. On functional scale level the stage 5 was reduced to 1 which shows good improvement. Meniers disease may satisfactory be managed with Ayurveda treatment.