Abstract This short communication paper intended to provide a descriptive evidence summary on efficacy studies of exercises in essential hypertension through a PubMed-based search for systematic reviews and/or meta- nalyses. There were high quality evidence for aerobic exercise, device-guided breathing exercise, Tai Chi exercise, with an evidence-based recommendation and American college of sports medicine endorsing a position statement, all of which favored use of exercises as a safe and effective treatment modality.