Objective ' To determine the level of hypertension awareness and pharmacological management in patients from a rural community of Australia.Subjects and Methods ' Patients were recruited from Albury-Wodonga and surrounding districts, located in a rural area of south-eastern Australia. For all patients, demographic information and medical history were recorded. Clinical measurements were also recorded.Results ' A total of 665 patients were studied. Only 43.4% patients with hypertension were aware of its existence. Blood pressure was inadequately controlled in 88.9% of all hypertensive patients according to the management guidelines of the National Heart Foundation of Australia. Of all the patients who had hypertension, 55.0% were not receiving antihypertensive therapy. In those patients who were receiving therapy, 65.3% patients were receiving only one antihypertensive (monotherapy). The most commonly used antihypertensive classes were angiotensin converting enzyme inhibitors, angiotensin II receptor antagonists, diuretics, ÃŸ-blockers and calcium channel blockers.Conclusion ' The level of hypertension awareness and management appears to be poor in hypertensive patients living in a rural community. Actual hypertension control was extremely poor, and a major potential cause of this may be the poor use of antihypertensive medications in these patients. Strategies need to be implemented to improve the awareness of hypertension and its required management in patients residing in rural communities.