Starting from rational bases for a genetic approach to Ménière's disease(MD),we explored the nu merous reports published in literature and summarized the recent advances in understanding of the genetic fundaments of the disease.The research advances related to the genetic fundaments of MD were reviewed.The incidence of MD presents as familial clustering and hasdifference in geographical and racial,no certain gene associated with MD was found.At present,studies concentrate on those genes,such as human leukocyte antigen(HLA),DFNA9,chromosome 12,macrophage migration inhibitory factor(MIF),KCNE,and heat shock protein (HSP).However,there have much arguments in diagnose,classify and pathophysiology of MD,resulting in different conclusion and prospect.The characteristics of MD strongly suggest a certain role for genetic factors in the development of MD,no convincing evidence for an association with any gene exists.To make a more strict quality control and continue explore the genetic factors of MD,will be meaningful in the future.