Objectives: Antivertiginous drugs, antihistaminics or vasodilators, are known to give temporary relief but literature suggests the counterproductive effects of these drugs. Once the severe acute symptoms subside the antivertiginous drug therapy should be stopped and the patient should be considered for vestibular rehabilitation therapy. Current rehabilitation efforts are intended to drive the nervous system to adapt to the disordered vestibular input: physiopathological basics of vestibular rehabilitation are based on mechanisms of vestibular compensation: an appropriately designed virtual reality (VR) experience could greatly increase the rate of compensation in these patients. Methods: To test the application of VR on our patients we used a particular “helmet” connected to a personal computer. The rehabilitation training is divided in 2 phases: “passive” and “active.” Since 1997, 908 patients had been submitted to the vestibular rehabilitation with VR. The patients were affected with: paroxysmal positional vertigo, monolateral peripheral vestibular dysfunction, bilateral peripheral vestibular deficit, central nervous system lesions, psychogenic vertigo. Results: Seventy-five percent of patients showed an improvement demonstrated by stabilometric data while 92% of patients reported an improvement of their symptoms. Patients with peripheral vertigo showed an improvement both of symptoms and objective data while patients with central vertigo showed an improvement in objective data not always accompanied by a regression in subjective symptoms. Conclusions: Correct execution of the exercises permits a mobility of the neck that activates compensation mechanisms through somato-esthesic channels in cervical muscles. This method could also show success in pediatric patients where a playful approach to therapy could be used.