How many years early hypertensive kidney damage will develop into uremia mainly depends on its treatment effect. People with early hypertensive renal damage can delay the progression of renal damage if they can be treated actively; however, if they are not treated in time, with the progression of the disease, there is a possibility that they will progress to uremia within a few years, and the exact time, it is not possible to make a generalization. Hypertensive renal damage is usually damage to the small renal arteries or renal parenchyma caused by primary hypertension. Aggressive and effective control of hypertension is fundamental to avoid or minimize the damage it causes to target organs, including the kidneys. Its treatment includes lifestyle and dietary modifications as well as drug therapy. Patients with hypertensive nephropathy should have a low-salt and low-fat diet, quit smoking and limit alcohol, and eat more fruits and vegetables. Meanwhile, ACEI or ARB drugs such as enalapril and irbesartan are preferred for antihypertensive treatment. If the blood pressure does not reach the standard, diuretics such as furosemide, calcium channel blockers such as nifedipine controlled-release tablets, beta-adrenoceptor antagonists such as metoprolol tartrate, etc. can be combined for treatment. All of the above medications should be used under the guidance of a doctor, avoid self-medication. Early hypertensive kidney damage patients are recommended to go to regular hospitals in a timely manner, under the guidance of doctors to standardize the treatment.