The prognosis of hypertensive nephropathy in the early stage is quite good through active treatment, and most of the patients have a slow decline in renal function. In the advanced stage of hypertensive nephropathy or poor blood pressure control, the prognosis of patients is relatively poor, which may eventually lead to uremia. Hypertensive nephropathy is mainly caused by renal ischemia due to small blood vessel sclerosis, which is mainly manifested as tubular injury in the early stage, and glomerular injury gradually occurs with the progress of the disease. If the disease is actively controlled in the early stage, the decline of renal function is slow and the prognosis is relatively good. If the patient is in the middle or late stage of the disease or the blood pressure is poorly controlled for a long time, the prognosis is relatively poor, the renal function declines faster, which may eventually lead to uremia. Therefore, patients with hypertensive nephropathy need to strictly control blood pressure, with low-salt, high-quality and low-protein diet, to try to slow down the decline of renal function. It is recommended to go to the hospital in time and follow the doctor’s advice.