Objective To explore the effect of individualized vestibular rehabilitation management based on WeChat platform on patients with vestibular dysfunction. Methods A total of 113 patients with vestibular dysfunction were randomized into a control group (n=57) and an intervention group (n=56) using a random number table. The control group received routine telephone follow-up based on the rehabilitation training guided by therapist, while the intervention group additionally received individualized online rehabilitation guide and management via WeChat platform. The effect was evaluated after the intervention at home for 4 weeks. Results After the intervention, the excellent rate of balance capability and the benefit score of vestibular rehabilitation of the intervention group were significantly better than those of the control group, while the score of vertigo degree was significantly lower than that of the control group (P<0.01 for all). Conclusion Implementation of the individualized vestibular rehabilitation management based on WeChat platform for patients with vestibular dysfunction, and strengthen the monitoring of vestibular rehabilitation, can enhance the recovery of vestibular function and alleviate patients′ symptom of vertigo.