Hypertension accounts for 13% of global mortality, is one of the most frequent causes of end stage kidney failure in the world, and has a 25% prevalence in Nigeria. Primary prevention based on comprehensive population-based intervention has been found most economical. Lifestyle modification is an essential part of management. It is important for the researcher to have a deep understanding of people's perceptions and attitudes to diseases like hypertension where effective interventions must address lifestyle choices of community members. Thus, this descriptive qualitative study carried out among 48 rural dwellers between ages 20 and 75 in Isunjaba, Imo state, to determine their perception and attitude to hypertension issues. Information gathered would be used in creating intervention programme to prevent hypertension and promote health. Findings revealed that participants were aware of incidents of sudden deaths and stroke in the town. There was a strong belief among members that hypertension "can be sent by one's enemy", even though majority attributed it to "worries and much thinking". Unhealthy lifestyles such as alcohol, and stimulant consumption (kolanut and snuff) were elicited. Daily activities were said to be equivalent to regular exercise. Participants were eager for measures to prevent hypertension and curb the incidence of stroke in the communities. There is therefore the need to institute hypertension awareness and blood pressure monitoring programme in the community.