This course will review the specific features and management options for bilateral vestibular disorders (BVD) and persistent postural perceptual dizziness (PPPD). Etiologic factors for BVD, including aminoglycosides, will be discussed, and the common circumstances that lead to PPPD will be reviewed. Treatment guidelines will be reviewed for both BVD and PPPD, including the role of vestibular rehabilitation. An interview with an individual with bilateral vestibular loss will be shared. The course will include a PPPD-related question-and-answer session with Neil Shepard, PhD, professor emeritus, Mayo Clinic College of Medicine. The course is appropriate for audiologists and occupational/physical therapists and assistants.