Physiotherapy with patient evaluation and biomechanical based therapy needs more to be focused among subjects with lowback ache. This original cross over study aims to evaluate the efficacy of conventional treatment versus of specific exercises among a lowback ache subject with anteriorly tilted pelvis. This original research was done in Chennai, India between July 2018 – August 2018. The subjects was treated elsewhere with IFT and electronic IPT for ten sessions, subsequently he was treated by the author with ten sessions of specific exercises to stretch and strengthen muscles associated with anterior pelvic tilt were done, each session lasts for 25-30 minutes. Results Using oswestry scale was used prior and after 10 sessions with conventional treatment (P<.1) and after 10 sessions of specific exercises which has shown P<.05 with exercises alone. Conclusion: Physiotherapy with patient specific problems and addressing biomechanical causes are more effective and it’s a mean of treating subjects actual problem rather than symptoms based electrotherapeutic means as evidenced in this study