In spite of overwhelming clinical evidence to support the cardiovascular benefits of antihypertensive treatments, less than half of treated hypertensive individuals achieve good blood pressure control. Poor concordance remains one of the major obstacles in preventing adequate control. It is estimated that between 50% and 80% of hypertensive patients do not take all of their prescribed medication, resulting in potentially major adverse consequences. Involvement of patients in decisions about their treatment, adapting consultation style to meet patients’ needs, simplification of treatment regimens using combination therapy with flexible dosing components are just some of the ways that may enhance concordance.