Primary hypertension in young people can be brought down to normal blood pressure with medication and effective lifestyle control, but primary hypertension is not curable. When young people develop primary hypertension, it is often considered to be related to factors such as mental stress, smoking, medication, and heredity. However, the pathogenesis and causes of primary hypertension are not clear. Primary hypertension cannot be cured, only the blood pressure level can be controlled. Patients with essential hypertension need to take medication regularly, and the specific choice of medication needs to be personalized according to the patient’s condition, so it is recommended to improve the auxiliary examination to determine the appropriate drug treatment plan. Young people with primary hypertension can not be cured, only regular oral medication, blood pressure can be controlled at normal levels. Hypertensive patients need long-term medication, and individual differences are relatively large, should adhere to outpatient review, regular monitoring of blood pressure.