Background. Hypertensive heart disease (HD) is a chronic abnormality that affects various systems of the body and is especially unfavorable for women of reproductive age. The purpose of the study was to develop a comprehensive program of physical rehabilitation for young women suffering with stage I hypertensive heart disease at the outpatient stage of rehabilitation and evaluate its effectiveness. Materials and methods. 42 young women with a diagnosis of HD were randomly divided into two groups: one performing traditional physical rehabilitation (control group) and the other following a method based on the Pilates system. Questionnaire, Martinet-Kushelevsky test, modified Romberg test, and Deshin test were performed. Results. Questionnaire and examination for determination of therapeutic tasks in the application of physical rehabilitation show improvement due to the use of the suggested methodology. Indicators of Martinet-Kushelevsky test improved from 2.46 points to 5.48 points (p<0.01) which is better (p<0.05) than in the case of the traditional methodology where they changed from 2.44 to 4.61 (p<0.01). Kotov-Deshin test results show improvement in both groups evenly but the test results of the women of the main group improved from “unsatisfactory” to “good”, and those of the women of the control group improved from “unsatisfactory” to “satisfactory” with significantly better results in the main group (p<0.05). Distribution of the Romberg test results show improvement of vestibular stability in all participants of the main group. Conclusions. The proposed program of complex physical rehabilitation of patients with stage I hypertensive heart disease using the Pilates method proved to be effective. Due to this program, there was a significant decrease in heart rate, systolic and diastolic pressure, an improvement in the response of the cardiovascular system to the Martinet-Kushelevsky functional test as well as in the state of the respiratory and nervous systems, as evidenced primarily by the indicators of hypoxic tests, spirometry, clino- and orthostatic tests, with the Romberg and Deshin methods.