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Background: Hypercholesterolemia incidence is increasing in the world. Hypercholesterolemia can be controlled with appropriate dietary behavior. Self efficacy is one of the important factors that can influence behavior. Methodology: Research correlation with cross sectional design. Total sample of 46 respondents were taken using total sampling technique. The research instrument used a questionnaire, and analyzed using univariate and bivariate analysis. The bivariate analysis using Pearson test. Research result: Characteristics of respondents aged 46-55 years most of as much as 37.0%. Women as much as 91.3%, 50.0% had elementary education, and income below <1,500,000 52.2%. Respondents have self-efficacy with a mean value of 56.85. Dietary behaviors in patients with hypercholesterolemia with an average value of 39.26. Self-efficacy relationship with dietary behaviors in patients with hypercholesterolemia obtained by value p = 0,018 with a value of r = 0.349. Self-efficacy had a significant association with dietary behaviors in patients with hypercholesterolemia which means higher self-efficacy, the higher the dietary behavior Conclusion: The higher self-efficacy, the higher the dietary behaviors in patients with hypercholesterolemia