Primary hypertension in young people is a lifelong disease that needs to be managed for life. It can be controlled by both lifestyle and medications to bring blood pressure up to standard, and most people cannot be completely cured. Some secondary hypertension can be cured. Most young people with hypertension, mostly related to genetic factors, adopt a healthy lifestyle, such as pay attention to diet, more exercise, weight control, etc., it is also difficult to avoid the occurrence of hypertension, but a healthy lifestyle will make the onset of hypertension later or less severe; generally primary hypertension requires oral medication to bring blood pressure down to normal levels and reduce the damage to the heart, brain, kidneys and blood vessels throughout the body. In the case of secondary hypertension, such as renal artery stenosis, blood pressure can be restored to normal by removing the stenosis, i.e., after the primary disease is cured, blood pressure is also normalized. For young patients with first-onset hypertension, we need to identify the cause. If the cause is sympathetic excitation or activation of the renin-angiotensin-aldosterone system due to heavy life stress or poor lifestyle, we can change these lifestyles or hobbies, and a large proportion of young patients can have their hypertension controlled. The initial onset of hypertension can be controlled, but if the blood pressure is still high in this group through lifestyle interventions, medication must be administered. Hypertension medications generally cannot be stopped at will, for example, metoprolol can appear to stop, so generally after taking antihypertensive medications, even if the blood pressure is well controlled, you still need to continue taking the medication, and if you want to reduce the dosage or discontinue it, the advice of a professional doctor should prevail. The onset of primary hypertension in young people is very much related to genetics and is the result of a combination of genetic factors and lifestyle habits, which cannot be cured. Secondary hypertension can be cured in part if the cause is identified and targeted treatment is carried out.