Despite the low incidence of acoustic neuromas in the general population, they exert their influence on the career of every Otolaryngologist. From the daily diagnostic dilemma of when to obtain imaging studies for asymmetric sensorineural hearing loss, to symptomatic management of post-treatment patients, all Otolaryngologists need to have familiarity with these tumors and their management. In this course we will cover a general overview of these tumors from diagnosis, management algorithm, quality-of-life issues, and new frontiers in management.