In India, where over 60% of the population has had severe back pain at some time in their life, the prevalence of low back pain is worrying. Women are more likely than males to experience low back discomfort, particularly postmenopausal women. This review discusses how Pilates exercises can help postmenopausal women with their low back discomfort, posture, flexibility, strength, and balance. Methods: Articles published between 2008 and 2022 were found by searching the databases of PubMed, Web of Science, and Scopus. The selection and results of the studies were based on the following criteria: the studies had to assess how Pilates affected pain and flexibility in postmenopausal women with low back pain; these included systematic reviews, meta analyses, randomized controlled trials (RCTs), randomized clinical trials, randomized cross-over trials, quasi-RCTs, and non-RCTs. As outcome measures, the Oswestry disability scale, the Visual Analogue Scale (VAS), the Numeric Rating Scale (NRS), and the Quality of Life Scale were employed. Result: The review study revealed that pilates exercise is a significant factor in low back discomfort in women who have gone through menopause, June reports Kloubec et al. [14] as stating that substantial improvements in balance and posture in 50 individuals following a 12-week period. According to Notornicola et al. [7], sixty people with long-term low back pain who underwent Pilates demonstrated improvements in their overall health and vitality, their physical and social functioning, pain and impairment. Conclusion: The current review's findings suggest that pilates exercises are more beneficial than other treatments for lowering low back pain in postmenopausal women.