Background: Nationally comprehensive studies for the prevalence of the Metabolic syndrome is usually not available from the countries of South Asia. Current studies suggest that one–third of the urban population residing in major cities of India have Metabolic syndrome. In this study prevalence of metabolic syndrome in hypertensive patients and their clinical profile is studied. Methodology: The present cross–sectional study was conducted on 100 non–pregnant hypertensive subjects of more than 18 years of age in tertiary care hospital between October 2016 to September 2018. 100 hypertensive subjects were evaluated according to International Diabetes Federation Criteria(IDF) for MS with waist circumference for South Asians ethnic group and prevalence of MS in these hypertensive subjects were observed. Results: Total 100 non–pregnant hypertensive subjects out of which 57 were female and 43 were male. 46 patients diagnosed as MS.49 patients were Diabetic or on treatment. 34 were overweight as per WHO classification of BMI and maximum subjects 50 were obese as per Asian classification of BMI. Out of 57 females 33 and out of 43 males 13 were having MS. Conclusion: High prevalence of MS among hypertensive patients establishes MS has emerged as a significant health concern and indicates the need for metabolic screening and preventive measure in all hypertensive patients at the first diagnosis.