When studying about the evolution of modern day Neurotology, I always find myself amazed with the developments that occurred at the beginning of the 20th century. As early as 1898, Fedor Krause, considered the father of German neurosurgery, performed the first vestibulocochlear nerve section to treat a patient with severe tinnitus. In 1904, Charles Harrison Frazier, who had trained in Germany and later became one of the biggest influences in the development of early neurosurgery in America, took this idea and carried out the first posterior fossa vestibulocochlear nerve section to treat vertigo in a patient with Ménière's disease. In 1925, Walter Edward Dandy, an American neurosurgeon considered one of the founding fathers of neurosurgery, popularized this technique with good results, but the game changer came in 1931, when a Canadian surgeon, Kenneth G. McKenzie, was able to perform the first selective division of the vestibular nerve. A year after this development, even Dandy, who had already performed around 300 cochleovestibular nerve sections, began to perform vestibular neurectomy with cochlear nerve sparing. He performed 607 procedures of that kind throughout his life, achieving a vertigo control rate as high as 90%, with a mortality rate lower than 1%. What impresses me the most about these earlier years is that all of these surgeries were performed without microscopic assistance, which only began after 1961, when William F. House, considered the father of Neurotology, performed the first microsurgical division of the vestibular nerve through a middle cranial fossa approach.