The authors comment on the Barany Society guidelines for bilateral vestibulopathy (BV). This is one of the murky entities of vestibulogy. By definition, patients will eventually lose vestibular function and don’t experience any vertigo. However, some patients still get recurrent attacks. The authors presume that disturbances in otolithic function can be the cause. In such patients, otolithic function must be regularly evaluated and a grading system must be added to BV, taking into account this element. This dynamic progression will be useful in planning rehabilitation to maintain a stable otolithic reference frame, which could allow patients to optimise their postural strategy or eventually plan for a vestibular implant.