Background: Hypertension has been one of the greatest public health problems in all parts of thernworld, particularly, being double burden among developing nations with predominantly alarmingrntrends. It is one of the top leading causes of morbidity and mortality among adults in Ethiopia,rnexactly as it is in the whole world. However, there is no adequate study pertaining tornhypertension in general or factors associated with it particularly in a rural community setting. rnObjectives: The main purpose of this study was to assess the risk factors and levels ofrndisabilities related to hypertension.rnMethods: A case - control study was conducted in Mettu Karl hospital. The study populationsrnwere patients who visited the hospital for medical care. Data were collected on a face to facernusing structured questionnaire by interviewer administrated questions. Anthropometric and bloodrnpressure measurements were taken through standardized procedures. Data were entered, cleaned,rnanalyzed, in EPi Info version 3.5.3.and exported to SPSS version 16.0 statistical softwarernpackages. rnResults: Participants involved in this study were (n = 114) cases and (n = 228) controls. Thisrnstudy revealed that there is statistically significant association between various risk factors andrnHTN. According to the finding; Residence, Income, cigarette smoking, alcohol consuming, khatrnchewing, family history of HTN, family history of central obesity, less physical activity, regularrnanimal fat intake, sleep duration, nature of sleep, nature of routine work and BMI werernsignificantly associated with the occurrence of HTN. Disabilities observed among hypertensivernpatients ranged from severe to extreme in performing a given activity. rnConclusion: The study found out statistical significant level association between different riskrnfactors and hypertension occurrence. Hypertensive patients have suffered from a range ofrndisabilities to the level of extreme and severed situation. To prevent and control HTN as well asrnits complications lifestyle modification of the community, particularly the urban population isrnthe big issue. Community at large, stake holders, mass media should pay attention against HTN.rnSince hypertension is a disabling disease infrastructures for disabled patients should be providedrnadequately. The government body and policy makers expected to work against hypertensionrnoccurrence. Further study is encouraged.