Background: The background of this study is the changes in the causes of death from infectious diseases to non-communicable diseases. One of the non-communicable diseases which become the dominant health problem in developed and developing countries is hypertension. Risk factors for increased blood pressure include age, heredity, smoking habits, excessive salt consumption, cholesterol, stress, and overweight or obesity. Reflexology is a practice of massaging specific points on the hands and feet, which gives a sense of comfort and helps relieve stress. Hypertension in the older person occurs due to the thickening of the arterial wall resulting in a buildup of collagen in the muscle layer, so that the blood vessels gradually constrict and become stiff. The constriction of the circulatory system results in an increase in blood pressure above normal values. Reflexology is a type of treatment that adopts the strength and endurance of the body by providing a massage. However, there is still insufficient research on reflexology to reduce hypertension in the elderly. Purpose: Purpose of this study is to describe and analyze the effect of reflexology before and after provided to hypertensive patients. Methods: This study was Quasi-experimental research using One-Group Pretest-Posttest design Without Control Group. The blood pressure was measured twice before and after Reflexology was performed to the patients with hypertension. The reflexology is performed in the feet, every morning after breakfast for around 20 minutes, for 6 days. This study was conducted at the Werdha Wening Wardoyo Nursing Home, Ungaran Semarang, Central Java. Inclusion criteria are the hypertensive elderly without medication. Exclusion criteria are hypertensive elderly with complications. The research instrument was a calibrated mercury sphygmomanometer. The data were analyzed using a Wilcoxon test, because the data are not normally distributed. Results: before given the therapy was 145.41 mg/dl, and a