The aim of the study was to investigate the effects of 12 weeks Pilates exercises on functional and cognitive performance in elderly people which are living in an elderly care center. Forty three elderly were randomly allocated either to Pilates group (PG, n= 21; mean age, 72.8 ± 7.84 years), which performed three session of Pilates per week for 12 weeks, or to control group (CG, n= 22; mean age, 77.7 ± 7.25 years), which no performed any exercise is except from daily works. Participants tested to handgrip strength, Berg balance scale, Functional reach test and Mini Mental State Examination Test before and after the 12 weeks of exercise. Finally, PG demonstrated improvement in all variables. However, CG has no improvement any variables. Pilates exercises led to significant improvement in functional and cognitive performance. Therefore, elderly people can apply a well-structured Pilates exercise program under Pilates instructor and physiotherapist.