The aim of this paper is to study the effect of Otago exercises program on balance and on the risk of fall in community-dwelling individuals having knee osteoarthritis. Otago exercise program is an individually tailored home-based programme which will help the elderly to reduce fall risk. Hence we are going to check whether Otago exercise program is helpful in reduction of fall and improve balance in community-dwelling individuals having knee osteoarthritis. Consent of the patients will be taken. The importance of the Otago exercises will be explained to the patient. The procedure and treatment duration will be explained. Firstly at the first-week score of Time Up And Go Test And Berg Balance Scale will be noted Intervention for 1 month will be given. Lastly, at the 4th week again the scored will be checked. Result: The result of the Berg Balance Scale shows, Mean pre-intervention was 36.77 and post-intervention was 45.7, P=0.0001 and t= 9.466. The result of time up and go test shows, Mean pre-intervention was 40.87 and post-intervention was 28.07, P=0.0001 and t= 17.147 After comparing within the group it is observed that pre and post-intervention were considered to be significant. Conclusion: According to the findings of my study we conclude that Otago exercise program is effective in increasing strength and balance. Thus it is effective in reducing the risk of fall in an older adult.