The Indian subcontinent (a loose term comprising of India, Nepal, Bangladesh, Pakistan, Nepal, Srilanka, Bhutan and the Maldives) is home to more than 1.5 billion people (with more than 1.3 billion in India alone) as per the latest World Bank estimates [1]. This accounts for nearly a fifth of the worlds population. The population here is mainly "young" with more than 65% of the population below the age of 35. The median age is expected to be 29 years by the year 2020 [1]. It is a diverse area with wide variations in race, ethinicity, socioeconomic status, religion, language and cultural practices across the region [2]. It is also an area of rapidly changing demographics. Life expectancy in the region is also gradually increasing from around 36 years in 1947 and is currently around 67 years [1]. There is an increae in urbanisation across the region, with only 11% of the population living in cities at the turn of the 20th century, but increasing to more than 30% a century later [2].With this increasing urbanisation, improving economic status, changing lifestyles and increasing life expectancy, comes increasing incidence of chronic illnessness such as diabetes, hypertension and cardiovascular diseases [3]. Studies have shown that the prevalence of diabetes and hypertension is increasing in the region [4,5]. Recent data suggest that the prevalence of diabetes in the adult population in India is around 8.8% as a whole [6], though in some urban areas it is as high as 17% [7]. The prevalence of hypertension is much higher and currently is around 33% for the whole of south asia [8], and specifically around 33% in urban india and 25% in rural india [9]. The reasons for this increase are multifactorial. Changing lifestyles leading to a more sedentary behaviour could be a major factor. It is also likely that improved access to health care leads to higher detection and hence higher reporting of these hitherto undiagnosed and unreported conditions. Indeed studies have shown that even in the rural areas the incidence of hypertension is increasing and this could be a combination of all the above factors and not least due to improved access to health care [10].Bearing this is mind, the Journal of Human Hypertension has decided to bring out this special spotlight issue on hypertension in the India. In this issue we look at the various aspcects of hypertension in the subcontinent. Gupta et al. [11] and Ghimire et al. [12] describe the current epidemiology of hypertension in India and Nepal respectively. Gupta et al. [11] especially point out the increasing incidence of hypertension even with in the rural populations, where previously, the incidence of hypertension and other non communicable diseases were traditionally lower than the urban populations. Similarly in Nepal, Ghimire et al. [12] found that hypertension and other cardiovascular risk factors appear to be increasing in the elderly population. They have studied the various aspects of risk factors in this elderly population.The hypertension society of India, along with th...