The aim of this research is to determine whether Pilates method helps to improve the musculoskeletal health. Unlike other Western methods of exercise, the Pilates method requires easier, measured movements without any sudden changes in the range of motion without heavy resistance, but it does not make training Pilates any easier than others exercises. Due to the light running of the movement, Pilates require endurance, and by doing the isometric exercises, the muscles become spindle, elongated, and do not increase their mass. The seemingly simple movement performance and small shocks in the musculoskeletal structures of the body have made Pilates very advantageous, not only as a form of fitness, but also as a form of rehabilitation for pain, injury and self-prevention in musculo-skeletal structures of the body. Pilates exercise takes place with or without props. Exercise takes place on tatami substrates, and the requisites that sometimes were used were Swedish ball, small ball, elastic band of various elasticity, weights of 1 kg, Bossu ball or pilates ring. Exercises were divided into multiple groups, upper extremities exercises, lower extremities exercises, and core exercises (stomach and back), each time exercises were altered and each exercise would be more focused on a particular body than the rest of the body. The conclusion is that in most cases pilates exercise greatly contributes to the improvement of the musculo-skeletal system, as well as improving the performance of daily activities.