Abstract Introduction: Tension-type of headache is the commonest form of headache. According to the current International Classification of Disorder of Headache.Hypertension is diagnosed when blood pressure is elevated more than 140 mmHg (systolic) over 90 mmHg (diastolic). Headache in general is considered a symptom of hypertension although there is no association of tension headache and mildly elevated blood pressure. Patients and Methods:This study is conducted in the out-patient clinic of otolaryngology – Head and Neck Surgery and Neuro- medicine department in Baqubah Teaching Hospital in Diyala over a period from July 2018 to November 2019. 116 patients of different age groups were studied randomly. Results:The results showed that of the total number of 116 cases , 96 patients (82.7%) was normal ,20 patients (17.3%) was hypertensive and complaining of tension headache. Conclusion: Based on the results in this study, we found that there is no relationship between the complaint of tension headache and hypertension based on moderate to severe phases in patients attending otolaryngology and neuro-medicine consulting clinics in Baquba Teaching Hospital for patients with tension headache.