Bilateral vestibulopathy (BVP) is a chronic vestibular disorder characterized by debilitating unsteadiness and oscillopsia (blurred vision during movement), which severely impacts quality of life. As vestibular rehabilitation provides only limited benefit, research efforts have focused on developing an artificial balance organ, also known as a vestibular implant. This implant holds the potential to (partially) restore vestibular function. This review outlines the current state of research on multicanal vestibular implantation, focusing on patient selection criteria, device evolution, electrode placement, clinical outcomes, fitting optimization strategies and future challenges.