Paediatric hypertension, a condition characterized by elevated blood pressure in children and adolescents, has emerged as a significant health concern, necessitating comprehensive understanding and effective management. The prevalence of Paediatric hypertension has witnessed a notable surge in recent years, attributed in part to the escalating rates of childhood obesity and sedentary lifestyles. This condition, often asymptomatic in its early stages, poses a substantial risk for the development of cardiovascular diseases later in life. The intricate interplay of genetic predispositions, environmental factors, and lifestyle choices contributes to the multifaceted etiology of Paediatric hypertension. Accurate diagnosis is challenging due to the absence of clear-cut symptoms, emphasizing the importance of routine blood pressure screenings during Paediatric healthcare visits. The implications of untreated hypertension in children extend beyond cardiovascular complications, encompassing adverse effects on cognitive function and overall well-being. Management strategies involve a combination of lifestyle modifications, such as dietary changes and increased physical activity, and pharmacological interventions when necessary. The Paediatrician's role extends beyond medical intervention to encompass patient education and familial involvement in fostering a holistic approach to mitigate the long-term consequences of Paediatric hypertension. Ongoing research seeks to refine diagnostic criteria, explore novel therapeutic interventions, and address the psychosocial aspects associated with managing hypertension in the Paediatric population, thereby ensuring a comprehensive and nuanced understanding of this evolving medical landscape.