Recalcitrant hypertension in young people should be treated for specific causes. For example, improvement of lifestyle, adjustment of antihypertensive regimen, and symptomatic treatment of secondary hypertension. Recalcitrant hypertension, also known as refractory hypertension, means that despite the use of more than three antihypertensive drugs, blood pressure has not reached the target level. Its treatment should be tailored to the specific cause. 1. False intractable hypertension: caused by incorrect blood pressure measurement, emotional stress or poor compliance with treatment, such patients can just keep their emotions relaxed, take medication as prescribed by the doctor and measure their blood pressure accurately. 2. Lifestyle not improved: patients’ diet and weight are not controlled, or caused by excessive drinking or smoking. This type of patient can maintain a healthy lifestyle and work routine. 3. Unreasonable antihypertensive program or other drug interference: such cases should be adjusted under the guidance of the doctor. 4. Secondary hypertension: these patients should follow the doctor’s guidance to clarify the cause of the disease and timely treatment. There are many reasons for stubborn hypertension in young people, and the cause should be clarified and treated under the guidance of a doctor.