Back pain problems that occur in pregnant women are often the causes of other new problems. Early treatment through endorphin massage and regular physical activity is an alternative solution to deal with this problem. This study aims to determine how the effect of endorphin massage and physical activity is on reducing the intensity of back pain for pregnant women in the working area of the Lubuk Alung Health Center. This study uses a quasi-experimental research design (design type one group pretest-post test) by conducting tests before and after treatment with a research sample of 34 respondents. The data were analyzed using inferential statistics. The researcher used the t statistical technique (t test). The results showed that there was an effect of endorphin message therapy and physical activity on reducing the intensity of back pain in pregnant women in the working area of the Lubuk Alung Health Center, Lubuk Alung Regency. The results of the analysis found Asymp.Sig.(2-tails) is 0.014, z -2.449. This shows that the given intervention (endorphin massage and physical activity) can reduce the level of back pain in pregnant women, and there are differences in the level of pain scale for pre and post tests. Thus, it can be concluded that endorphin massage and physical activity are very effective and efficient, especially in dealing with back pain problems in pregnant women. The application of endorphin massage in collaboration with physical activity is a new thing in the medical and sports world, so it is important to follow up in the future. It is expected that respondents can practice endorphin messages and physical activity to reduce pain scale, especially during pregnancy.