Hypertension is a significant risk factor for CVD both in men and women. Cardiovascular diseases are one of the major causes of deaths in women than any other disease. The important risk factor for CVD is hypertension in women, but unfortunately due to lack of proper data and knowledge it remains underestimated and undiagnosed. Since many years there is amisperception that women are at a lower risk of CVD than men. The incidences of CVD may be markedly reduce if women are treated for high blood pressure, but it has been observed that two thirds of treated hypertensive women have uncontrolled blood pressure. There are some factors that are unique for women responsible for hypertension such as in premenopausal women contraceptives pills, pregnancy and in postmenopausal women with decrease levels of estrogen hormones there is rise of blood pressure, obesity is more common in women, that is an another factor for high blood pressure. Hence based on the various findings and reported literature the present study was planned Clinical Assessment of Principle Parameters Responsible for the Development of Hypertension in Females. The present study was planned in Narayan Medical College and Hospital, Jamuhar Sasaram, Bihar, India. The 672 female patients referred to Department of General Medicine were evaluated in the present study. Out of that 100 females were found positive cases of hypertension. Hypertension has become one of the major health issues for both men and women; but there is an increasing incidence of hypertension in women. Women are at high risk to die from hypertension related cardiovascular diseases, yet less attention are paid to hypertension related problems in women. From the above findings, it can be inferred that there is a gap in hypertension awareness, treatment, and control in the study population inviting urgent public health intervention particularly targeting the population at risk, including younger population.