Noise pollution is an ever-increasing menace and affects the general and the mental well-being. The auditory effects of noise are well documented. However, noise induced vestibular dysfunction has received little attention and is an unexplored and an under-diagnosed entity. We review the effects of noise on the balance function. Various studies have shown the detrimental effects of noise on the vestibular end organs. Such changes may take place by various mechanisms and that noise induced vestibular dysfunction may occur in the absence of hearing loss. The long-term effects of noise on the vestibular physiology are not known and is an area for further research particularly in the setting of occupational noise exposure. It is imperative to understand the response of the vestibular system to noise at the molecular levels so that therapeutic measures can be adopted. At the same time, it is important to identify vestibular dysfunction at an early stage clinically so that further exposure can be prevented and permanent damage is averted.