Background: Benign paroxysmal positional vertigo (BPPV) is the most frequent vestibular disorder with significant morbidity, psychosocial impact, and medical costs. This multi-centre study work aimed to review BPPV clinical features, treatment, and outcomes. Methods: After a detailed history, clinical examination, audiological assessment, and position provocation tests to diagnose BPPV type, the suitable repositioning manoeuvre was done. BPPV was diagnosed according to the criteria developed for this study through piloting and validation in a specialized dizziness clinic. The main outcome measures were patient demographics, comorbidities, canal involvement, response to treatment, and incidence of recurrence. Results: Within included 114 patients, the affected canal was 93% posterior semi-circular canal, 3.5% horizontal semi circular canal, and 3.5% anterior semi-circular canal. The response after repositioning manoeuvre was (86%) after one session and 100% after the second session. Conclusion: Meticulous BBPV assessment with choosing appropriated provocation test help to diagnose and identify the type of BPPV and so applying appropriated suitable repositioning manoeuvre.