Summary: Dizziness is one of the most common leading complaints among the geriatric population. Their incidence ranges from 30% over the age of 60 and increases to 50% over 85. Due to the complex nature of the symptoms, dizziness is classified as a so-called geriatric syndrome that can significantly impact a patient's daily life. The diagnosis of vertigo is based on a carefully collected history, which enables the differentiation of vertigo from other forms (non-rotational), and then differentiation of the central type from the peripheral type. We should pay attention to such information as the duration of symptoms and the circumstances of their occurrence; provoking and exacerbating factors; accompanying symptoms such as pain; nausea; neurological symptoms; accompanying hearing loss; risk factors for cardiovascular diseases. One-third of older vertigo patients are diagnosed with mild paroxysmal positional vertigo (BPPV). The diagnostic and therapeutic approach must be multi-system and oriented towards all the factors mentioned above. Identifying the nature of vertigo can help guide the diagnosis in a specific direction and avoid excess testing. Physiotherapy of vertigo is a crucial element in preventing the consequences of falls in the elderly, the risk of which should be determined when choosing a holistic therapy.