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Background :. Hypertension is a disease that experienced by the worlds population. However, only one of three people who suffer from hypertension knowing the circumstances and only 61% on treatment. Concerns about the emergence of new problems in hypertension will cause mental emotional disorder. One of the lifestyle modifications that can cope hypertension by advocating for more relaxed. One relaxation in hypertension patients is laughter therapy. Puspose : The purpose of this study is to determine the effect of laughter theraphy to decrease blood pressure with hypertension patients in Local Government Clinic Welahan 1. Method : The method is a quasi-experimental design with pre-test and post-test. Samples of 32 respondents consist with 16 respondents intervention group and 16 respondents control group. Measure instruments used aneroid sphygmomanometer and observation sheet of laughter therapy. Data analysis used T test. Results : The results of test analysis-T signed rank test showed mean blood pressure systolic and dyastolic before treatment to intervention group are 162 mmHg and 103 mmHg, meanwhile to control group are 154 mmHg and 96 mmHg. Mean blood pressure systolic and dyastolic after treatment to intervention group are 159 mmHg and 97 mmHg, meanwhile to control group are 154 mmHg and 94 mmHg. So, there is the effect significant of laughter therapy to decrease blood pressure systolic and dyastolic with p value 0,022 and 0,036 (p value < 0,05). Conclusion: There is the effect of laughter therapy to decrease blood pressure with hypertension patients in Local Government Clinic Welahan 1.