Hypertension is major risk factor for cardio vascular morbidity and mortality. It accelerates the process of atherosclerosis in the coronary, cerebral, renal arteries as well as increasing the work load of the heart. Hypertensive patient is at risk of developing myocardial infarction, stroke, renal failure, congestive heart failure. Hypertension is a elevated blood pressure and also a scientific problem of un expected complexity. The cause of elevated blood pressure is unknown. A condition termed primary or essential hypertension.The study concludes that slow breathing exercises along with conventional physiotherapy is the most beneficial effective than the aerobic exercises alone in patients with essential hypertension. This study supports the alternate hypothesis which states that there is a significant improvement in cardio respiratory control and exercise capacity by slow breathing exercise along with aerobic exercise.