vHIT provides information complementary to other available vestibular tests and may be a key part of evaluating suspected peripheral vestibular deficits. It is quick, objective, and able to measure covert saccades and all six semicircular canals. If acute vestibular neuritis is in the differential but is not certain after initial history and physical exam, vHIT should be considered as part of the diagnostic workup. If vHIT proves to be abnormal in the acute setting, further vestibular testing is not necessary. For chronic patients, vHIT still is an appropriate first test. However, if after the acute phase the vHIT results normalize, caloric testing should be performed to rule out ongoing peripheral disease. Given the dissociation between vHIT and calorics for fluctuating vestibulopathies (e.g., VM or MD), the literature suggests preferentially doing caloric testing. For pathologies such as BPPV, vHIT adds minimal diagnostic value. More research is needed to further characterize vHIT results when following the progression of vestibular disease, as well as to enhance training and access to vHIT (Laryngoscope. 2017;127:2689–2690).