Hypertension is a common problem in the geriatric population, and while the available literature is replete with the needed information, it sometimes becomes a dilemma on when to treat and how much the blood pressure needs to be controlled . We would like to present some of our own peculiar experiences while dealing and managing hypertension in the aged. Stress is a known association. We had pointed out a long time ago that “circumstantial hypertension” can be the root cause [2,3]. Managing the circumstances becomes the cornerstone in such cases.