Objective To investigate into the option to surgical procedures in different stages of Meniere's disease. Methods One hundred and nineteen cases (119 ears) of Meniere's disease operated on were reevaluated with the National Criteria (Chenese ENT Association, 1996). Forty-eight cases in second state underwent endolymphatic sac shunt (ESS); 32 cases in third stage underwent Scarpa gangliectomy (SGN) and 12 in the same stage Ess; 16 in fourth stage vestibulocchlear neurectomy (VCN) and others ESS (7 cases) and SGN (4 cases). Results (1) ESS successfully relieved vertigo in 79.2 per cent of the paticnts in second stage , and their hearing tended to stabilize (35.4%); (2) SGN was successful in controlling the vertigo of those patients in third stage who might retain. some usable hearing; (3) paticnts underwent VCN in stage 4 expericnced a rapid elimination of tinnitus. Conclusions The postoperative results were highly de-pendent on careful staging and selection of the surgical method.