The Elderly is an individual in the final stage of development with several characteristics, such as having various needs and problems, both from bio-psychosocial and spiritual needs. Self-care is one of the basic needs in the process of every human life. Self-care in the elderly will change due to aging, which decreases independence. This study aimed to find out the overview of Self-Care in the Elderly with Hypertension in the Work Area of UPT Puskesmas Usa. This study used a survey design, and the number of samples was 110 elderly with hypertension. This study used a non-probability sampling technique. The descriptive statistical test showed that self-care in the elderly with hypertension in the work area of UPT Puskesmas Usa was in the most category with poor self-care. Therefore, it is necessary to increase the guidance and health education for the elderly regarding self-care management in hypertension.