Given a directed graph $D$, a set $S \subseteq V(D)$ is a total dominating set of $D$ if each vertex in $D$ has an in-neighbor in $S$. The total domination number of $D$, denoted $γ_t(D)$, is the minimum cardinality among all total dominating sets of $D$. Given an undirected graph $G$, we study the maximum and minimum total domination numbers among all orientations of $G$. That is, we study the upper (or lower) orientable domination number of $G$, $\rm{DOM}_t(G)$ (or $\rm{dom}_t(G)$), which is the largest (or smallest) total domination number over all orientations of $G$. We characterize those graphs with $\rm{DOM}_t(G) =\rm{dom}_t(G)$ when the girth is at least $7$ as well as those graphs with $\rm{dom}_t(G) = |V(G)|-1$. We also consider how these parameters are effected by removing a vertex from $G$, give exact values of $\rm{DOM}_t(K_{m,n})$ and $\rm{dom}_t(K_{m,n})$ and bound these parameters when $G$ is a grid graph.