The problem of NCDs is increasing always. The Bukittinggi health office's data at 2020 showed that NCDs were included in the 10 most coomon disease, namely hypertension (22,55%), diabetes mellitus (10,02%), gastritis (6,14%). The purpose of situation analysis to determine the priority of NCDs problems in Bukittinggi. Study design is descriptive observational with quantitative and qualitative approach. Analysis was done at 2021 November until 2022 January. Determining the priority used Bukittinggi at 2020 are hypertension (score 35,28), diabetes mellitus (score 28,14), and obesity (score 19,33). Prevention and control have to comprehensive through advocacy, partnerships, cooperation and capacity building with any sectors. PAHO adapted Hanlon method with assessment criteria based on: magnitude of problem (A); seriousness of problem (B) consist of urgency (B1), severity of consequences (B2), economic loss (B3), negative impact on others (B4); effectiveness of interventions (C); inequity (E); and institutional factor (F). The priority of NCD problems in