Background: Aging is a universal phenomenon, and it is a natural and inevitable process. According to the 2011 census, about 10.1% of the population is over 60 years; this is expected to increase to 20% in 2050. Globally 1% of the population average of 60 years, is rising, and it is likely to reach 30% of the world population by 2050. Sleep is a biological necessity; it is nature's gift of a particular time for rest, restoration, and recreation. As the age progresses towards senility, people experience several psycho-physiological problems. Often these problems create sleep disturbances among the elderly. Methods: The present study focused on evaluating Anulom Vilom Pranayama's effectiveness on the quality of sleep among geriatrics at Inba Illam and Geriatric home at Christian mission Hospital, Madurai. The research design adopted for the study was a quasi-experimental pre and post-test control group design. The selected samples were 60, of which 30 were allotted to the experimental group, and the remaining 30 were in the control group. The samples were recognized based on the inclusion criteria and picked up with Non-probability – convenience sampling technique. The sleep quality index rating scale was a tool for data collection. Results: The comparison of the mean post-test score of quality of sleep between the experimental and control group's unpaired “t” value was 14, which was highly signicant at p<0.001 level. It infers that the Anulom Vilom Pranayama effectively increases sleep among geriatrics. Conclusion: From the result, it was concluded that AnulomVilom Pranayama is an easily practicable and effective intervention method for the elderly population to improve the sleep quality