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Objective: To review the effectiveness of the canalith repositioning procedure (CRP) in the treatment of benign paroxysmal positional vertigo (BPPV) with a critical review of the literature and meta‐analysis.

Study Design: Meta‐analysis.

Methods: Studies eligible for inclusion were randomized, controlled trials of the CRP performed on clearly defined cases of BPPV. A total of nine studies meeting inclusion criteria were identified by two independent literature searches of Medline. Treatment and control groups were compared for symptom resolution and elimination of a positive Dix‐Hallpike test.

Results: Patients treated with CRP were more likely to demonstrate symptom resolution (odds ratio [OR] 4.6; 95% confidence interval [CI] 2.8–7.6) and negative Dix‐Hallpike (OR 5.2; 95% CI 3.0–8.8) at the time of first follow‐up. The effect of CRP for symptom improvement was strongest within the first month after treatment …