Aim: The study aimed to evaluate the effect of back massage on anxiety and quality of sleep among patients with Heart Failure. Methods: Quasi experimental research with two group pre-test post-test design was adopted in the study. Sixty heart failure patients, 30 in experimental and 30 in control group were selected using a purposive sampling technique. Socio demographic variables and clinical profile were used to assess the sample characteristics whereas anxiety and quality of sleep was assessed using Modified Spielberger State Trait Anxiety Inventory and Modified Groningen Sleep Quality Scale respectively. Back massage was given daily for ten minutes with the techniques of effleurage, petrissage, friction and tapotement using a moisturizer to the experimental group for three consecutive days and the post test was done on the 4th day. Results: The mean post test scores of anxiety and quality of sleep showed a significant difference in the experimental group after back massage (t = 2.62 and t =2.59 respectively, at p