Background: Nonspecific low back pain is one of the commonest emerging health problems among the middle-aged housewives which may be due to a combination of risk factors that typically appears in the middle age. One of the most common treatments for this is exercises and in recent years Pilates has been a common option for treating low back pain. Objective: To assess the level of low back pain and to determine the effectiveness of Pilates on low back pain among middle aged housewives. Methodology: Quasi experimental research design is adopted. The data will be collected using demographics NPRS and ODS. 20 subjects with low back pain will be taken for the study. 10 subjects will be assigned to the experimental group (group A) and the other 10 to the control group (group B). 7 Pilates exercises along with conventional exercises will be taught and practiced by them for 5 days in a week for 4 weeks duration and control group will be taught conventional exercises only. Result: The analysis showed statistically significant improvement from pre to post in group A and group B in NPRS with p<0.001. The analysis showed statistically significant improvement from pre to post in group A in ODI score with p<0.001 but there was no statistically significant improvement in group B in ODI score as the p value was > 0.05. When both the groups were compared, the analysis showed better improvement in group A as compared group B. Conclusion: The findings of the present study concluded that Pilates along with conventional exercises was more effective in treating participants with nonspecific low back pain.