Falls are a common cause of injury, but often overlooked. Around 1 in 6 elder adults over 65 and half of people over 80 will fall at least once a year. The research aimed to design an exercises program with Swiss ball and recognize its effect on static and dynamic balance in elder adults. Sixty-eight elder adults who agreed to participate were included in the study. The participants performed the exercise for 6 months. A significant improvement was observed from the Swiss-ball exercises program. The design of one-group, pre-test, and post-test have limitation upon the internal validity of the study. The information was collected using SPSS software. The data were collected from two instruments: (1) Demo graphical questionnaires; (2) Survey questions (Berg Balance Scale, BBS). The data were analyzed using the SPSS Wilcoxon Singed-Ranks Test mixed design and descriptive statistics for the quantitative data. The findings of this study showed that the Swiss-balls exercises program was effective in improving static and dynamic balance in elder adults. Swiss-balls were shown to be effective in balancing ability. In this study there was a limit even though it consisted of several exercise programs to promote balance. In future research, set up with a combination of various exercise programs is necessary and recommended.