A population-based study in Germany estimates the prevalence and incidence of benign paroxysmal positional vertigo (BPPV), a common cause of vestibular vertigo. The study found that BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo, with a lifetime prevalence of 2.4%, a 1-year prevalence of 1.6%, and a 1-year incidence of 0.6%. The median duration of an episode was 2 weeks, and 86% of affected individuals sought medical consultation, leading to interruption of daily activities or sick leave. Only 8% of affected participants received effective treatment. BPPV was independently associated with age, migraine, hypertension, hyperlipidaemia, and stroke. The study highlights the significant morbidity, psychosocial impact, and medical costs associated with BPPV. The study also found that BPPV is more common in women than in men, with a 1-year prevalence seven times higher in those over 60 years old compared to those aged 18–39. The study also identified that BPPV is often linked to other conditions such as migraine, hypertension, and hyperlipidaemia. The study concludes that BPPV is a common vestibular disorder that significantly affects patients' quality of life and healthcare systems. The study also notes that BPPV is often misdiagnosed and that effective treatment is not always provided. The study recommends that healthcare providers should be more aware of BPPV and its associated risk factors to improve diagnosis and treatment.A population-based study in Germany estimates the prevalence and incidence of benign paroxysmal positional vertigo (BPPV), a common cause of vestibular vertigo. The study found that BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo, with a lifetime prevalence of 2.4%, a 1-year prevalence of 1.6%, and a 1-year incidence of 0.6%. The median duration of an episode was 2 weeks, and 86% of affected individuals sought medical consultation, leading to interruption of daily activities or sick leave. Only 8% of affected participants received effective treatment. BPPV was independently associated with age, migraine, hypertension, hyperlipidaemia, and stroke. The study highlights the significant morbidity, psychosocial impact, and medical costs associated with BPPV. The study also found that BPPV is more common in women than in men, with a 1-year prevalence seven times higher in those over 60 years old compared to those aged 18–39. The study also identified that BPPV is often linked to other conditions such as migraine, hypertension, and hyperlipidaemia. The study concludes that BPPV is a common vestibular disorder that significantly affects patients' quality of life and healthcare systems. The study also notes that BPPV is often misdiagnosed and that effective treatment is not always provided. The study recommends that healthcare providers should be more aware of BPPV and its associated risk factors to improve diagnosis and treatment.