Objective To explore the effect of modified Xingshenjieyu exercise program on swallowing function and quality of life of patients developing dysphagia after stroke. Methods A total of 91 patients developing dysphagia after stroke were randomly divided into 3 groups. The control group (n=30) was given routine rehabilitation training, the intervention group 1 (n=30) was subjected to routine rehabilitation training combined with Xingshenjieyu exercise, and the intervention group 2 to routine rehabilitation training combined with modified Xingshenjieyu exercise. Before and 4 weeks into the intervention, swallowing function and quality of life of the 3 groups were measured and compared. Results Four weeks into the intervention, the swallowing function scores, the quality of life scores, and the Water Swallowing Test level of the three groups had significant differences (P<0.05 for all). Conclusion The modified Xingshenjieyu exercise can effectively improve swallowing function and quality of life of patients developing dysphagia after stroke.