A rolling back healthcare massage and fitness apparatus is designed for a user to perform a flexing and extending movement and to back-massage at the same time, wherein the apparatus includes a supporting frame constructed to have an upper frame and a lower frame, a rolling back massaging arrangement extended between the upper and lower frames, and two handle units spacedly extended between the upper and lower frames. The rolling back massaging arrangement has a plurality of rolling back massaging faces that one of the rolling back massaging faces is selectively oriented for touching, rubbing and kneading on the user's back. The handle units not only allows the user's hands to hold at the handle units to perform the flexing and extending movement but also enables the user's body to self-apply a massaging pressure on the user's back at one of the rolling back massaging faces for back-massaging.