In global health politics, cardiovascular disease is the elephant in the room, a massive problem that few want to acknowledge, and even fewer want to tackle [1]. It has been estimated, however, that high blood pressure related diseases cause about half of this burden, killing around eight million people each year. Even though there has been some progress in blood pressure lowering during the last decades, much more has to be done! In June last year, a decision was taken by our Society to create a simple, user friendly, short, and easy- to-understand document with recommendations for doctors in any socioeconomic environment around the world, regardless of health care system and to have this document translated into several languages. These guidelines, sponsored by the American Society of Hypertension (ASH) and our Society (ISH) and endorsed by the Asian Pacific Society of Hypertension (APSH) have now been published and are presented in this document by Ernesto Schiffrin and Michael Weber. So how do these recommendations differ from what has been published in 2011-2014 in this field? In this issue of Hypertension News, we have compared them on a few important variables to show similarities and differences. Have a good read!