Background: Aging is associated with the loss of balance and increase risk for falling. Gerontological nurse play an essential role in reducing falling and its related injuries through providing safety measures, environmental modification, eliminating risk factors and improving the balance through exercise training Aim of the study: This study aimed to assess the effect of exercise program on balance and prevention of recurrent falling among elderly People. Research design: Quasi-experimental research design was utilized in the current study. Subjects: The study sample including 80 elderly clients male and female. Setting: This study was carried out at three geriatric homes in Minia city (Dar Omar Bn El- khatab- Dar El- Qedesa Hena- Dar El- raee el saleh). Tools of data collection: Two tools were utilized in collecting data; tool I: Interview structured questionnaire; tool II: Berg Balance Scale, the data were collected through one year. Methods: The researcher design booklet in Arabic language and give exercises training program for elderly clients. Results: The current study findings revealed that there was a highly Statistical significant difference in satisfaction of elderly knowledge that show the percent of satisfaction were (85%) after intervention. And also the finding revealed that there was a highly statistical significant difference improvement of elderly balance reported by (80%) and minimizes risk for falling at the end of intervention. Conclusion: The study findings concluded that the regular performing exercises enhances balance and reduces risk for falling for elderly people. Recommendations: We have to spot the light on elderly people to be a part of the education and exercises training program in geriatric homes and community also improve awareness of family members and health care givers about environmental hazards and how avoid it to prevent recurrent falling.