During the past few decades, therapeutic options in vestibular schwannoma have become more versatile. The former dominant surgical strategies are complemented by radiotherapeutic procedures and the so-called wait-and-scan option. Therefore, the decision to proceed has become more difficult and individual solutions should be found on an interdisciplinary basis. In particular, patients suffering from neurofibromatosis type 2 should be discussed in an experienced center. Furthermore, rehabilitation of auditory, vestibular, motoric, and neurologic functions requires extended experience in this complex disease.