Hypertension is a major cause of morbidity and mortality worldwide. Patients’ beliefs and knowledge about hypertension have a strong influence on compliance to treatment and control of the disease. Up to date, there is no previous data on hypertension health beliefs in Bahrain. Therefore, this research was conducted to study patients’ beliefs and explore the association between patients’ characteristics and their beliefs. Aim: To understand Bahraini patients’ beliefs about hypertension in primary health care in Bahrain. Objectives: To explore patients’ beliefs about hypertension in primary health care in Bahrain; to study the association between personal characteristics (demographic, socioeconomic and medical) and patients’ beliefs. Study design: Cross-sectional study. Settings: Data was collected from two primary care health centers in each health region in Kingdom of Bahrain using validated questionnaire. Participants 454 hypertensive adult Bahraini patients ≥18 years, who were attending primary care within 10 days period in February 2018 (1st – 14th February), were recruited. Pregnant women, patients with psychotic disorder or cognitive impairment, and patients who are unable to communicate were excluded. Data was analyzed qualitatively for themes using SPSS version 23.0. Results: Patients’ mean age was 58.2 ± 11.697 years with females constituting 58.4%. Based on the Health Beliefs Model, participants have strong beliefs regarding their susceptibility to the effects of hypertension, seriousness of its complications and the benefits of a proper and healthy management plan. On the other hand, they have weak beliefs in the efficacy of the barriers (i.e. alternative medicine and medication side effects) toward hypertension management. The most variables having the largest influence on patients’ beliefs were duration of having hypertension and existence of other chronic medical problems. Conclusion: The findings suggest that participants were fairly knowledgeable about hypertension. We concluded that patients’ perceptions are an important factor in hypertension care and should be deeply explored