Background: Malaria is a disease caused by Plasmodium parasites (P. falciparum, P. ovale, P. vivax, P. malariae, P. knowlesi) infection often caused by the bite of female Anopheles mosquitoes which have Plasmodium parasites in their salivary glands. Plasmodium develops in the human liver and then invades red blood cells. This causes the symptoms of malaria. Cytoadherence is the adherence of erythrocytes infected by parasite on the endothelial surface of blood vessels due to mature parasites which causes adhesive molecules on the surface of erythrocytes to adhere with adhesive molecules on the endothelial surface of blood vessels. Causes of hypoxia in malaria include cytoadherence, sequestration, and anemia. Bitter melon (Momordica charantia L.), which is a traditional medicine, contains terpenoid and alkaloid substances which have anti-malarial properties. There hasn't been any study on the relationship between bitter melon and cytoadherence as well as hypoxia in malaria. Objective: To understand the effect of bitter melon therapy on decreasing cytoadherence and hypoxia in hepatocytes of Balb/c mice infected with Plasmodium berghei. Methods: This purely experimental research is conducted in vivo in a lab environment. There are 2 control groups, the positive control group which received anti-malarial therapy, and the negative control group which receives no therapeutic intervention. There are also 3 treatment groups, group 1 received a 4mg/gBW dose of bitter melon extract, group 2 received 8mg/gBW dose of bitter melon extract, and group 3 received