​The Otago Exercise Program (OEP) is an evidence-based fall prevention program for older adults. The OEP has had limited validated and use in the Arabic language, restricting its applicability in the Arab World. Therefore, this study aimed to translate and validate an Arabic version of the OEP in a sample of Arabic-speaking older adults. The Arabic OEP was translated and culturally adapted using standardized processes. Expert discussion panels comprising geriatrics rehabilitation experts and older adults reviewed and modified the Arabic version of the OEP in terms of clarity, acceptability, and safety. The final version was then piloted for 8 weeks with a sample of 20 Arabic-speaking older adults to assess feasibility of implementation in terms of usability, acceptability, adherence, safety and potential benefits. Potential benefits were evaluated with outcomes of number and fear of falling, balance, mobility, strength, pain, fatigue, depression, anxiety, and quality of life. The Arabic OEP was found to be feasible, acceptable, and safe for use. Adherence was good with engagement in strengthening and balance exercises higher (89.6%) than with the walking program (55%). Between-group analyses demonstrated no potential benefits on physical ability, pain, anxiety, depression, fatigue and quality of life. Within group analyses showed improvements in anxiety (p= 0.03) and fatigue in the OEP group. No adverse events or falls were reported. The Arabic OEP is feasible, acceptable, safe, and culturally appropriate for use with Arabic-speaking older adults.​