Several studies show the benefits of including muscle strength and aerobic physical activity in the routine of elderly people. Among the various possibilities of physical activity, the Pilates method has become a popular modality in recent years, through a system of exercises enabling to work the whole body and that corrects posture and realigns the muscles, developing the body stability needed for a healthier life. The aim of this study was to review the current evidence on the effects of the practice of the Pilates method in the elderly. A systematic literature review was conducted in the following electronic databases: Pubmed, Scielo, Lilacs/Bireme, Scopus, Pedro and Isi of Knowledge, from descriptors pilates, elderly, old adults, aging. In the selection of studies the following inclusion criteria were used: original articles in English, Portuguese and Spanish languages. All selection and evaluation processes of the articles were performed by peers and the quality was verified by the Downs and Black scale. Twenty-one studies were included. The year of publication ranged from 2003 to 2014 and the size of the sample varied from 8 to 311 elderly subjects, aged at least 60 years old. The intervention period was from 4 weeks to 12 months of Pilates exercise practice. It was concluded that despite the studies pointing to physical and motor benefits of the Pilates method in the elderly, we cannot state whether or not the method is effective, in view of the poor methodological quality of the studies included in this review.