The article discusses blood pressure goals in the management of hypertension. Targets of 140 mm Hg systolic and 90 mm Hg diastolic reduce cardiovascular and total mortality similarly to lower targets, but with fewer adverse effects.[1] Lower BP targets reduce the risk of myocardial infarction with a mean of 137 patients treated over 3.7 years.[1] Once initial pressure control is achieved, a lower target may be considered by shared decision making.[1] Lower targets increase adverse effects such as syncope and hypotension with a required number to harm of 33 over 3.7 years and require an average of one additional drug.[1] A multicenter study with more than 8,500 participants confirmed similar mortality at lower targets.[1] Aiming for a target of 140/90 mm Hg is primarily recommended.[1]