Introduction and objectives During physical exercise coagulation and fibrinolytic activities are increased. Moderate and regular exercise is associated with a decrease on thrombotic episodes. On the other hand exhausting physical exercise seems to be a trigger of thrombotic events, especially on non-trained subjects. The objective of this study is to investigate the effect of a marathon race on coagulation and fibrinolytic parameters on trained subjects. Material and methods We studied 31 amateur athletes who had followed a training program for 4 months. Blood samples were collected before and after exercise and at 24 hours and 72 hours to test the effects of a marathon race on prothrombin time, prothrombin activity, activated partial thromboplastin time, fibrinogen, antithrombin III (AT3) and D dimer. Results There was an increase in coagulation activity and a marked increase in D dimmer (marker of fibrinolytic activity) in post-exercise samples. There was also a decrease in fibrinogen levels, probably due to it has been used up during the exercise period. The 24 hour hours samples showed a decrease in AT3 levels, also as a result of AT3 consumption during the physical exercise. Conclusions These data, suggests that in trained subjects, a general balance in haemostatic mechanisms is achieved (coagulation and fibrinolysis activation) with continued physical exercise.