Objective: To report outcomes of nonsurgical and surgical management of Menière's disease at Beijing Tiantan Hospital. Methods: Patients with Menière's disease were categorized into groups based on hearing and quality of life. Individualized management was provided, including life style modification, drug therapies, endolymphatic sac decompression and labyrinthectomy. Treatment outcomes were evaluated during up to 24 months follow up. Results: Eighty seven patients underwent life style modification and drug therapies. The vertigo control rate of Grade A and B was 76.9% and 83.8% respectively. Six patients received surgical management, including endolymphatic sac decompression (n = 5) and labyrinthectomy (n = 1). For these patients, the vertigo control rate of Grade A and B was 80% and 100%, respectively. Conclusions: Management of Menière's disease depends on several factors, i.e. severities of vertigo and hearing loss, quality of life, surgical contraindications and patient subjective desire. The treatment is drug therapies for the majority of patients, as well as life style modification. Surgical indications are rare and the least invasive procedures should be considered first. The results of surgery are generally satisfying. © 2014 PLA General Hospital Department of Otolaryngology Head and Neck Surgery.