Hypertension is a critical public health issue, approximately one in four adults (roughly 25- 30%) in India has hypertension. Studies indicate 29.8% to over 30% of the adult population is affected, with higher rates in urban areas (33.8%) compared to rural (27.6%). High prevalence of hypertension is linked to obesity, tobacco use, alcohol consumption and increasing age, particularly affecting those 60 and above. Hence the current study aims to assess the prevalence of hypertension and its associated lifestyle risk factors and also to estimate awareness, treatment access, and adequacy of control of hypertension among the study subjects. A community based descriptive cross-sectional study with multistage sampling design for 600 samples with the age group of 30 to 69 years was conducted among urban population of Mysore, Karnataka. A modified WHO STEPS interview schedule, a population-based surveillance tool was used. The prevalence of hypertension was 30.66% (male: 37.3%, female: 24.4%) with mean systolic and diastolic BP 122.49 ± 11.53 mmHg and 82.62± 7.39 mmHg, respectively. Higher odds of being hypertensive were found in male subjects, age group of 50-59 years, married and belonging to nuclear family, subjects with secondary education level, and of upper socioeconomic status. Major lifestyle characteristics were also associated with hypertension. Among the total hypertensive of 242 subjects, 58 (23.9%) were aware about their hypertension status; out of those, 45 (77.5%) were seeking treatment and 18 (31.03%) had their blood pressure adequately controlled. The study concluded that approximately one- third of adults in urban city samples suffer from hypertension, driven heavily by lifestyle factors like physical inactivity, poor diet, tobacco and alcohol use, stress and central obesity. The prevalence of both prehypertension and hypertension found to be high and was in a need for early interventions and primary health care access along with awareness programs to control the burden of hypertension.