20-year-old hypertension first to clarify whether secondary hypertension, such as special obesity, sleep apnea syndrome, nephropathy chronic nephritis, other rare diseases are pheochromocytoma, primary hyperaldosteronism. When secondary hypertension is ruled out, beta-blockers such as metoprolol and bisoprolol are preferred in young people, and ACEI class, ARB class, and calcium antagonists can be added if the control with beta-blockers alone is not satisfactory. The most important thing for young people is to exercise and control their diet. Many young people can completely reduce their blood pressure to normal through physical therapy.