Diagnosis of vestibular disorders is a challenge in the pediatric population not only because of the difficulty of taking proper clinical history, but also because of the difficulty in performing the vestibular examination. While it is not simple to estimate the frequency and causes of vertigo and dizziness in a pediatric age, it is reported that the prevalence of symptoms in children older than 3 years ranges from 5.3% to 8% with adolescents in the higher part of the range. Although migraine is the most common cause of vertigo according to most authors, all forms of vertigo should be considered in the differential diagnosis, since vestibular neuritis, Menière’s disease, labyrinthitis, and benign paroxysmal positional vertigo are also described. Recently, a joint committee of the Bárány Society and International Headache Society reclassified migraine-related vertigo syndromes into three categories: vestibular migraine of childhood (VMC), probable vestibular migraine of childhood (probable VMC), and recurrent vertigo in childhood (RVC) with the aim of better classifying clinical features into groups. Vestibular examination in the pediatric population is highly challenging and begins even before entering the clinic: observing general aptitude for movements, the relationship with parents, and the constant search for their support, but also the ability of parents to let the child express themself with gestures, movements, and words, represent very important evaluative elements. The bedside vestibular testing of children is strictly age-oriented. In children older than 3 years, almost all diagnostic tests used in adulthood can be performed.