Low back pain (LBP) is a common condition affecting postmenopausal women, particularly those aged between 45-60. The period after menopause brings about significant hormonal changes, most notably a reduction in estrogen levels, which can negatively affect bone density, muscle mass, and joint health. These changes increase the risk of musculoskeletal issues such as LBP, which can become chronic and debilitating if not managed properly. For postmenopausal women, LBP is not just a health issue but also a social and economic concern. The pain often interferes with daily activities, limiting physical mobility, work productivity, and overall quality of life. This in turn may lead to increased healthcare costs due to more frequent doctor visits, pain management interventions, and potentially long-term medication use. Pilates, a form of low-impact exercise that emphasizes core strength, flexibility, and postural alignment, has been found to be especially beneficial for women in the postmenopausal phase. Pilates exercises focus on controlled movements, deep core stabilization, and breathing techniques, all of which contribute to strengthening the muscles that support the spine. The evidence supporting the benefits of Pilates for postmenopausal women suffering from LBP is compelling. Its focus on core strength, flexibility, and postural alignment directly addresses the musculoskeletal issues brought on by menopause, making it an effective and holistic approach to managing pain. Beyond pain relief, the incorporation of Pilates into the routine of postmenopausal women can improve their physical health, reduce medication use, and enhance their overall well-being. This makes it an important and highly recommended exercise intervention for women in this stage of life.