Hypertension, often termed the "silent killer," poses a significant public health challenge in India. Recognizing the urgency of addressing this silent killer, India has made efforts to increase awareness and implement strategies for hypertension control. With an estimated 200 million adults affected by this condition, it poses a considerable burden on individuals, families, and the healthcare system.India has implemented a multifaceted approach known as the India Hypertension Control Initiative (IHCI), a joint initiative involving various partners, to combat this growing health concern. Its primary objective is to improve the management of hypertension in primary healthcare facilities, aligning with the current screening program in place. By implementing evidence-based strategies and reinforcing the fundamental aspects of hypertension control, IHCI aims to drive progress in tackling non-communicable diseases in India by collaborating with key stakeholders such as the Ministry of Health & Family Welfare, State Governments, ICMR, and WHO India. By working together, IHCI and its partners strive to achieve the targets set by the Government of India in addressing the burden of non-communicable diseases and improving the health outcomes of the population. In this comprehensive review article, a critical examination is conducted, delving deep into the strategies, successes, challenges, and pivotal transition from mere awareness to impactful action in the realm of hypertension control, specifically within the unique and intricate fabric of the Indian context. It underscores the importance of addressing hypertension comprehensively, from awareness campaigns to sustained healthcare interventions, while highlighting lessons for global public health efforts.