Benign paroxysmal positional vertigo (BPPV) is a common, most often self-limited, vestibular end organ disorder that in some cases may be quite disabling. Canalith repositioning maneuver (CRM) relocate the free-floating particle (canalith) from the posterior semicircular canal through the common crus into the utricle, where they no longer induce vertigo. This report represents a prospective study of 22 consecutive patients diagnosd with BPPV. 17 patient (77%) were cured or significantly improved. 5 patients (23%) were improved slightly but not aggravated. Follow-up ranged from 2 to 13 months. Canalith repositioning maneuver is easy to perform and not time-consuming, therefore we recommend is as the first line treatment modality for BPPV.