In this qualitative, experiential study, 300 members of the database of WomenHeart: The National Coalition for Women With Heart Disease completed an online survey about hypertension diagnosis and treatment, patient education, and perceptions of this and related conditions. Based on the findings from the survey, characteristics of the prototypical journey were identified. To the extent to which the surveyed WomenHeart members represent typical experiences, this survey provides insights into common hurdles women encounter in their journey throughout the hypertension diagnosis and treatment process. Results of this study suggest the need for a patient-centric approach to hypertension management and to implement programs with the intention of comprehensively assessing and meeting individual needs. Further studies would be of value to expand on patients' journeys in the management of hypertension and identify the types of products, services, and programming that most effectively support treatment adherence and achievement of optimal blood pressure control. J Clin Hypertens (Greenwich). 2013;15:532-541. ª2013 Wiley Periodicals, Inc.While hypertension is more common in men than in premenopausal women, 1,2 after the onset of menopause, hypertension rates become higher in women than in age-matched men. It is estimated that >40% of postmenopausal women in the United States will develop hypertension and >75% of women older than 70 years are hypertensive.2-4 The high prevalence of postmenopausal hypertension is concerning given the associated increased risk of adverse cardiovascular, cerebrovascular, and renal outcomes. 5 According to the American Heart Association Heart Disease and Stroke Statistics-2013 Update, high blood pressure (BP) is associated with shorter overall life expectancy, shorter life expectancy free of cardiovascular disease, more years lived with cardiovascular disease, and increased risks of ischemic stroke and intracranial hemorrhage, compared with normal BP.6 Hypertension causes more than 61,000 deaths annually, including more than 34,000 women.6 For women, in particular, age-adjusted mortality rates associated with BP-related disease have increased in recent years. 7,8 More than 1 of every 3 adult women in the United States currently has some form of cardiovascular disease and, since 1984, more women than men have died of cardiovascular disease. 3Data from National Health and Nutrition Examination Surveys (NHANES) indicate that although hypertension awareness, treatment, and control rates have increased significantly for both men and women in recent years, 9 control rates are lower in women than in men, 10 with less than half of postmenopausal women having adequate BP control.2,11 These findings have been observed despite the fact that women are more likely than men to have their BP checked and adhere to their BP medications, which suggests that women may not be treated as aggressively for hypertension compared with their male counterparts and/or the mechanisms contributing to postmenopausal hypertens...