Children with sensorineural hearing loss often have impaired Balance and postural instability issues occur because of the shared inner ear pathology. Brain Gym exercises combine cross body movements that helps in cross-lateral sensory processing in the brain which may improve postural stability, moreover limited clinical evidence exist regarding its effectiveness in hearing impaired children. Objective: To compare the effect of Brain Gym exercises against standard physical exercises for static, dynamic balance and health-related quality of life (HRQoL) in hearing-impaired school going children. Methods: 30 students (age 10–15 years, hearing loss > 40 dB, Pediatric Balance Scale score < 52) were recruited through purposive sampling from special schools in Vadodara and assigned to Group A (Brain Gym, n=15) or Group B (General Physical Exercises, n=15). Both groups were given exercise protocol for 35–40 minutes per session, 3 days a week for 4 weeks. Outcomes measured were static balance (Flamingo Balance Test), dynamic balance (Y-Balance Test composite score), and quality of life (Pediatric Quality of Life Inventory 4.0). Results: Both groups showed statistically significant within-group improvements (p < 0.001), Group A achieved greater gains. Fall attempts during Flamingo test decreased significantly more in Group A compared to Group B (Right: t = 2.16, p = 0.03; Left: t = 2.31, p = 0.02). Group A also showed greater improvement in Y-Balance Test composite reach (Right: t = 6.25, p < 0.001; Left: t = 4.96, p < 0.001) and overall PedsQL scores (t = 6.18, p < 0.001). Conclusion: Incorporating Brain Gym exercises into pediatric rehabilitation of deaf children substantially impacts postural control and quality of life than general physical exercises alone.