Purpose of Review <p>The purpose of this review is to evaluate the impact of cardiometabolic surgery on hypertension in patients with severe obesity. It aims to provide an overview of the current surgical techniques and their effectiveness in reducing blood pressure levels.</p> Recent Findings <p>Recent studies have shown significant advancements in cardiometabolic surgery, highlighting its positive effects on hypertension. The Gateway Study, the only randomized trial designed to study the hypertension impact, demonstrated that patients who underwent cardiometabolic surgery experienced substantial reductions in blood pressure. The study also found that these patients had improved cardiovascular health and reduced risk of hypertension-related complications.</p> Summary <p>In conclusion, cardiometabolic surgery has emerged as a promising intervention for managing hypertension in patients with severe obesity. The recent findings, including those from the Gateway Study, underscore the potential benefits of these surgical procedures in improving blood pressure control and overall cardiovascular health.</p>