Background: Auditory Brainstem Response has been used as a diagnostic method to detect abnormalities in the respective auditory pathways involving their central connections¹. It is a test to measure the brain wave activity that occurs in response to clicks or certain tones². It is relatively cheap, easy to perform diagnostic method to detect early damage. This study is to correlate changes in brainstem evoked response audiometry parameters in Hypertensive Patients. Methods: The study was conducted between January 2020 to December 2020 on 100 patients attending ENT OPD in Vinayaka Missions Kirupanandha Variyar Medical College and Hospital, Salem. All patients with auditory complaints and known Hypertensives on treatment were seen at the otorhinolaryngology OPD and underwent a complete otorhinolaryngological examination, audiological studies (pure tone audiometry) and electrophysiological assessment BERA. Results: 100 Hypertensive Patients in the Ages between 41 years and 80 years were investigated with BERA. Hypertensive Patients showed significant prolongation of absolute peak latencies of wave I, II, V and interpeak latency of wave III-V indicating involvement of brainstem auditory pathways. Conclusions: The findings of the current study suggest that hypertension does affect the neuronal excitation/conduction in the auditory pathways. Both the peripheral auditory pathway and the central brainstem pathway of transmission are affected. Thu BAER can act as potential marker of neurological damage in Hypertension and emphasizes the requirement for further research in the field.