Background: Balance is an integral component of most of the daily activities. As a complex sensorimotor function balance control requires the integration of multiple systems such as vestibular, visual, and somaesthetic information into the central nervous system (pyramidal, extrapyramidal and cerebellar systems) in order to maintain antigravity postures and to produce a suitable response to any perturbation. In elderly, impairments of balance have serious health implications. Poor balance is associated with an increased risk of falling, and fall related injuries have significant individual and societal costs. Balance impairments are also associated with poorer mobility measures in elderly population. Aim: To find out effect of core stability exercises using swiss ball on balance performance and quality of life in elderly. Methods: 30 Normal healthy community dwelling elderly were selected. Their baseline assessment was done by performing the Time-up-and-go test (TUG), the one-legged-stance test (OLST) and by filling up the SF-36 form. These subjects were then, via multiple block randomization, divided into two groups i.e. exercises performed on swiss ball (Group A) and exercises performed on floor (Group B). After performing the pre test, the training procedures were elaborated for the subjects and were performed under the supervision for 5 weeks, 3sessions per week. The training routine consisted of 2 sets of 8 repetitions of each exercise. Rest periods was given between all sets of program according to need of subject. Results and Discussion: The data was analysed using Paired t-test, Mann-Whittney U-test and Wilcoxon test. It was seen that both the balance protocols i.e. with or without swiss ball have been effective in improving balance of older adults. Since core stabilization training adds on much stress on lumbar and abdominal muscles, these training sessions have improved balance, since the postural muscles in this area play the most important role in balance and orientation. Here, Abdominal Crunch exercise recruits the trunk flexors (Rectus Abdominis), the back extensor exercise recruits all the back extensors, the bird dog exercise recruits the back extensors (mainly multifidus) and pelvic bridging exercise recruits the paraspinal muscles of the body. In this study, Group A showed more significant values in terms of Timed-up-and-go test and One-legged-stance test as compared to Group B. Conclusion: It was concluded that core stability exercises using swiss ball are more effective than floor exercises in elderly for improving balance performance. Considering the results of present study, it seems that developing and administering physical fitness programs for the elderly is effective for increasing their balance and as a result their quality of life. Considering their special conditions, both training types can be used and can be recommended to the geriatric society.