The present study was designed with the object to assess the prevalence of hypertension and to identify the various treatment options prescribed and to determine the patients’ awareness, adherence to the treatment, KAP, quality of life and the impact of patient counselling in the above parameters. With this aim an institution based cross-sectional study for a period of ten months was conducted among the patients of Department of General Medicine, DM WIMS Multispecialty Hospital, Wayanad, Kerala by using standard questionnaires. 520 patients who meet the inclusion criteria were enrolled in the study. Well-structured questionnaires and standard tools such as Patient Satisfaction Scale (SAPS), Hill-Bone medication adherence scale (HB-MAS), WHOQOL-BREF were utilized to collect the data. After initial collection of the data, counselling was provided to each patients about disease, life style modification and medication usage with the aid of suitable validated patient information leaflet.