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To find out morbidity data on hypertension, in a hospital based study in Peshawar. Design of study: Prospective observational study. Duration: From March 2004 to July 2005. Settings: Cardiology department of Lady Reading Hospital and medical department of Khyber Teaching Hospital Peshawar. Patients and methods: A total of 718 patients with established diagnosis of associated complications of hypertension were included. Relevant informations were recorded from the patients with the help of a pre-designed questionnaire prepared in accordance with the objectives of the study. Results: A total of 718 patients were selected. Age range of patients was from 25 to 92 years with mean age of 58.5 years were included. Out of 718 sampling 433 were females and 285 were males. Three hundred and eighty three patients had more than ten years duration of the disease. The distribution of complications was: coronary artery disease (61.42%), left ventricular hypertrophy/left ventricular failure (19.63%), stroke (11%), retinopathies (3.62%), end stage renal disease (1.39%), and multiple complications (2.50%). Conclusions: hypertension is a major modifiable risk factor for coronary artery disease, stroke, eye abnormalities and end stage renal disease, which require proper counseling and management of patients.