In today's world, the Pilates method is a widely utilized kinesitherapy program that has shown significant effects on the health of the human locomotor system and the approach to physical exercise. Due to its specific principles and programs that encompass the physical and psychosocial characteristics of individuals, Pilates has found its place in kinesitherapy and the prevention of various physical injuries and impairments. The particularly positive effects of Pilates are evident in the treatment of chronic lumbar pain, which is considered a leading factor in disability and pain worldwide, significantly impairing people's quality of life. The focus of the Pilates program in kinesitherapy for chronic lumbar pain is on postural and movement control, with an emphasis on stability and strengthening the deep core muscles and pelvic muscles, along with the correct application of Pilates breathing techniques. The aim of this paper is to consolidate the principles of Pilates and the kinesitherapy effects that target the essential muscle groups related to chronic lumbar pain and movements in the lumbar spine. The Pilates principles included in the program are centering, concentration, control, precision, breathing, and flow, while the kinesitherapy effects include optimal range and movement patterns, increased muscle strength and endurance. These guidelines are integrated into a meaningful and comprehensive Pilates mat program with a Pilates ball and a Pilates program on the reformer, designed for individuals with chronic lumbar pain who engage in recreational physical activity.