Idiopathic normal pressure hydrocephalus (NPH) is a neurological disorder described as wet, wild, and wobbly. This syndrome presents in older adults and is characterized by urinary incontinence (wet), dementia (wild), and gait dysfunction (wobbly). Although physical therapists (PTs) may encounter NPH in most practice arenas, PTs in acute care hospitals may be responsible for performing objective measures on individuals suspected of having NPH. Results of objective tests help determine whether patients are candidates for shunting. This paper will present background information on NPH and discuss implications for acute care PTs with an emphasis on gait assessment.