Hypertension is the current leading cause of disease. It brings about Stroke, Kidney failure, blindness, and cognitive impairment. The prevalence of hypertension (HTN) is rising radically, especially in developing countries like Ethiopia, there is monthly reporting of HTN cases in Ethiopia using the district health information system 2 (DHIS 2) database. HTN has become one of the top 10 diseases of outpatient department cases in some health facilities. The objective of this study is to show the trend and magnitude of hypertension in Addis Alem primary Hospital.