The ageing process is associated with decreasing functional abilities lower quality of life and increasing health care costs for the community. In India geriatric population over the age of 60 is likely to increase from 8% in 2015 to 19% in 2050, and elderly will constitute nearly 34% of the total population in the country by the end of the century. Physical factors like balance play an important role in health of elderly. It is the base of independent living. Consequences of fall include pain, loss of confidence and independence in carrying out every day activities which can lead to social isolation. So, this study aimed to assess the effectiveness of pilates and otago exercises on balance in elderly individuals.