PURPOSE OF REVIEW: The current article reviews literature on the contemporary management of superior semicircular canal dehiscence syndrome (SSCDS). Approaches to management and surgical techniques are compared along with a discussion of the use of more standardized, objective outcome measures. RECENT FINDINGS: Considerable debate still exists as to what approach and technique is most appropriate for patients with SSCDS and how to best measure postoperative outcomes. However, it is increasingly accepted that multiple factors account for outcomes in SSCDS, including presenting symptoms and presence of vestibular comorbidities. Therefore, surgical intervention is best tailored to each individual patient. Data on SSCDS outcomes is heterogenous, and increased emphasis is being placed on validated measures of outcome. Round window approaches remain controversial and their role is still undefined. SUMMARY: The treatment strategies for SSCDS continue to diversify. A patient-specific approach with systematic documentation of outcomes will continue to inform how these patients are best managed.