Objective To explore the effect of sit-stand balance combined with Daoyin exercise on balance ability in elderly patients with pre-frailty.Methods A total of 80 elderly patients with pre-frailty were divided into an experimental group and a control group by using a random number table, with 40 cases in each group.The control group conducted routine rehabilitation training, while the experimental group additionally conducted sit-stand balance combined with Daoyin exercise for 12 weeks.Four weeks and 12 weeks after the exercise, the Timed Up and Go test (TUG) and the Berg Balance Scale (BBS) were used to assess and compare the two groups.Results Four weeks after the exercise, the BBS score of the experimental group was significantly higher than that of the control group (P＜0.05), 12 weeks after the exercise, the TUG of the experimental group was significantly shorter than that of the control group, and its score of BBS was significantly higher than that of the control group ( both P＜0.05).Conclusion Sit-stand balance combined with Daoyin exercise in elderly patients with pre-frailty is beneficial to shorten the stand-up and walking time and improve their body balance.