This article presents a theoretical basis for techniques of physical exercises developed by Joseph Pilates. The method, as a part of the so-called Body Mind Exercises group, first gained recognition among professional dancers, actors and choreographers but has become more popular and is now regularly applied in sport, fitness and physiotherapy. Pilates is a uniquely precise and intelligent approach to exercise and body-conditioning, which gives you a leaner, suppler, more toned body and a calmer, more relaxed mind. The initial part of the paper presents historical background, principles of performing exercises and benefits using the Pilates Method. Pilates is a gentle, non-aerobic exercise method, which lengthens and strengthens the muscles, and improves posture, without stressing the joints or the heart. The Pilates method incorporates both physical and mental elements. The technique focuses on the ‘‘power house’’ or what is known today as the core; in Pilates, this includes the abdominal, gluteal, and paraspinal muscles in particular. The final part of the article includes detailed pilates mat exercise programme (basic, intermediate, advanced ) and evidence for the use of pilates exercises. The author hopes to encourage the environment of physiotherapists to enhance their professional skills with elements of Pilates’ method.