Background: Gymnastics requires a unique combination of physical coordination and psychological resilience. Orientation ability and comprehensive sports anxiety significantly impact performance. While physical coordination is crucial for executing complex routines, unmanaged anxiety can disrupt motor control and concentration, affecting performance. Objective: This study aims to explore the relationship between orientation ability, co-coordinative abilities, and comprehensive sports anxiety in national level male gymnasts. Methods: A cross-sectional correlational design was used to examine the coordination abilities and anxiety levels among 32 gymnasts (16 male, 16 female) aged 12-17 years. Various coordination skills, such as orientation ability, balance, differentiation, rhythm, and reaction, were measured using established tests. Comprehensive sports anxiety was evaluated using Sinha’s Anxiety Scale. Measures: Coordination abilities were assessed through specific tasks, including the Numbered Medicine Ball Run Test (orientation), Long Nose Test (balance), Backward Medicine Ball Throw (differentiation), Sprint at the Given Rhythm Test (rhythm), and Ball Reaction Exercise Test (reaction). Anxiety was measured using Sinha’s Anxiety Scale.