The story is good, incorporating drama, suspense, and romance. Vertigo has one of the finest, most gripping, finales I have come across in any motion picture. Even after repeated viewings, the ending still manages to send shivers up my spine.
The acting is good all the way around. Jimmy Stewart delivers an absolutely wonderful performance as the slightly disturbed John 'Scottie' Ferguson, a man with a strong fear of heights and an obsession with the mysterious Mrs. Madeleine Elster. Madeleine is played to a cool, smooth perfection by the talented Kim Novak.
Robert Burks brings a lot of atmosphere to Vertigo through his cinematography. The colors are vibrant and glowing, giving the film a haunting aura.
Bernard Herrmann is at his best, delivering an absolutely riveting and disorienting musical score. The effects for the opening title sequence combined with Herrmann's score really set the tone of the film.
Hitchcock's direction is fantastic as always. For this film, he created the infamous "dizzy effect" shot by simultaneously zooming forward and reverse tracking with the camera. This shot has been imitated by many but rarely has it been as effective as it is here.