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Hypertension classified as cardiovascular disease is estimated to have caused 30% of deaths worldwide in 2013 and its prevalence was 37.4%. In 2015, at RA Kartini Hospital in Jepara Regency, there were a total number of cases of essential hypertension and other hypertension were 464 cases from 24,674 all cases of PTM in Publich health center and Hospitals throughout Jepara Regency. This study aimed to determine the effect of hydrotherapy on blood pressure of hypertensive patients at RA Kartini Hospital in Jepara. This study was quasi experiment research with pre-test and post-test non-equivalent control group design. The total Samples were 20 patients with hypertension taken by purposive sampling technique. Mercury sphygmomanometer research instruments and observation sheets. The test data analysis employed parametric statistics test of Paired-Samples T Test and Independent-Samples T Test. This study showed that: 1) The average systolic blood pressure before given hydrotherapy in the intervention group was 165.00 mmHg, diastolic was 101.00 mmHg. 2) The average systolic blood pressure after being given hydrotherapy in the intervention group was 151.00 mmHg, diastolic was 92.00 mmHg. 3) The average systolic blood pressure of the initial observation in the control group was 158.00 mmHg, diastolic at 100.00 mmHg. 4) The average systolic blood pressure after the final observation in the control group was 163.00 mmHg, diastolic was 95.00 mmHg. It can be concluded that there is an effect of hydrotherapy on blood pressure, with a decrease in the average systolic blood pressure of 19,000 mmHg and diastolic 4,000 mmHg with &