Objective: To investigate the effects of repetitive transcranial magnetic stimulation (rTMS) combined with suspension exercise training on balance ability and motor function in patients with hemiplegia after stroke. Methods: A total of 82 patients with hemiplegia after stroke were selected and randomly divided into a suspension exercise group and a combined treatment group, with 41 patients in each group, using a random number table method. Patients in the suspension exercise group received suspension exercise training, while those in the combined treatment group received rTMS therapy in addition to suspension exercise training. Balance ability, motor function, activities of daily living (ADL), and walking ability were evaluated before treatment (T0) and after 2 weeks of treatment (T1) in both groups. Results: At T1, both the suspension exercise group and the combined treatment group showed significant reductions in motion ellipse area, motion distance under open-eye and closed-eye conditions, and the 10-meter walk test (10 MWT). Additionally, significant improvements were observed in Berg Balance Scale (BBS) scores, Upper Extremity Motor Function Assessment Scale (FMA-UE) scores, Lower Extremity Motor Function Assessment Scale (FMA-LE) scores, Modified Barthel Index (MBI) scores, and Holden Walking Function Classification (Holden) levels (P<0.05). Moreover, statistically significant differences in these indicators were found between the two groups (P<0.05). Conclusion: rTMS combined with suspension exercise training can effectively improve balance ability and motor function in patients with hemiplegia after stroke.