Hypertension is adaptable risk factor for cardiovascular disease. Many analyses around the world have shown the high hypertension prevalence which is also rising. Aim: The objective of this analysis was to evaluate the risk factors and prevalence of hypertension among adults. Study Design: A descriptive cross-sectional study. Place and Duration: In the Medicine units of Services Hospital Lahore for one-year duration from May 2018 to May 2019. Methods: The analysis was done in five hundred eighty adults with 20-59 years of age range. Data were collected using an observation method to estimate the hypertension prevalence and BMI. To measure adult’s exposure to risk factors; pre-designed questionnaire was used. Results: 37.0% was the total prevalence in all hypertension cases (215 out of 580). The prevalence was 41.6% in men (264 in 110) and 32.2% in women (105 of 316) (P <0.03 95% CI). Among 215 hypertensive patients, 37.2% did not know that they had hypertension. In the last year, blood pressure was checked on routine basis by 453 (78.1%) participants. The incidence of hypertension increased with advanced age and high BMI. Of these, 58.1% of the participants were observed with hypertension and were current smokers 136 (23.7%). Conclusions: This analysis showed increased hypertension prevalence between adults. The hypertension prevalence was very high among smokers. Approximately 1/3rd of the subjects having hypertension did not know that are suffering from hypertension. The participants who do regular exercise were only few. Keywords: Prevalence of hypertension; body mass index; smoking.