The known risk factor for hypertension or high blood pressure is Obesity, and it is widely reported that the location of fat on a person's body can lead to increased risk of other health issues like cancer and heart disease. However, the relationship between hypertension and overall obesity versus site-specific fat accumulation is unclear. Hypertension was classified as a systolic blood pressure of >140, diastolic blood pressure of > 90, or initiation of blood pressure medicine. Visceral fat stores correlate with the 'apple shape' as opposed to the 'pear shape,' so having centrally located fat when you look in the mirror tends to correlate with higher levels of fat inside the abdomen. While higher BMI was associated with increased incidence of hypertension, when lower-body fat content, overall fat content and abdominal fat content were factored in, only abdominal fat remained, which is associated with hypertension. Hypertension and abdominal fat relationship did not change considering gender, age or race. The major correlation between hypertension and abdominal fat was observed with retroperitoneal fat, the visceral fat located behind the abdominal cavity and largely around the kidneys. The incidence of hypertension and presence of retroperitoneal fat is high that could suggest the effects from fat around the kidneys are influencing the development of hypertension.