Background: This study was developed to determine the effectiveness of task oriented training and swiss ballexercise on balance among middle cerebral artery stroke patients.Purpose: To compare the effectiveness of task oriented training and swiss ball exercise on balance among middlecerebral artery stroke patients.Materials and Methods: This research is an experimental study. The 30 subjects obtained from SaiCharan PhysioCentre were split into two distinct groups as Group A (15 Subjects) and Group B (15 subjects). All the 30 subjectswere assessed with Trunk Impairment Scale as a pre test and the same test was performed for post test at the endof 4 weeks following the intervention protocol. Group A received task oriented training and Group B receivedSwiss ball exercise along with convention therapy given for both the groups. Exercise were given for 4 weeks, 5days per week, 10 repetition * 3 sets. Pre test and post test values were calculated and tabulated. The entire periodwas performed from November 2022 to March 2023.Result: Statistical analysis of Trunk Impairment Scale Examination post values revealed the constantly significantdifferences, With the P value of <0.0001.Conclusion: Task oriented training with conventional therapy is more effective on enhancing the trunk balanceamong MCA Stroke patients than either using Swiss ball exercise with conventional therapy.