The idea of the article is to familiarize fitness professionals with the problems of people with hearing complications. Degrees of hearing loss and characteristics of the behavior of such people are presented. The range of knowledge that a fitness trainer should have is indicated: anatomy of the head, physiology of hearing, pathology and rehabilitation of hearing, hygiene, biophysics, psychology of communication. Particular attention is paid to the issue of conducting health-improving and rehabilitation classes for people with hearing problems, within which a fitness trainer must be familiar with the basics of music, the psychophysiology of rhythm, have a good sense of rhythm, complex coordination, skills in conducting a wide range of group fitness programs, along with customized technologies.