Abstract Objectives: This study aimed to assess prevalence of resistant hypertension (RHT) in hemodialysis (HD) patients. Patients and Methods: We conducted a cross sectional study on 135 HD patients. RHT was defined as failure to reach target blood pressure (BP) control (systolic BP 140 mmHg and diastolic BP 90 mmHg) with maximal dose of 3 antihypertensive therapies (AHT) including diuretics in patients with good daily urine output (> 500 cc/day) or at least 2 L/session ultrafiltration volume in oliguric (500-100 cc/day) or anuric patients ( 50 cc /day). Patients with post HD hypertension underwent 24h ambulatory monitor for their BP, which hourly measured their BP. Results: In our study; 34 (25.2%) of patients were non hypertensives, 43 (31.8%) were controlled hypertensives, 58 (43.0%) were uncontrolled hypertensives. Uncontrolled hypertensives with inadequate AHT were 53 (39.2 %), where RHT patients were 5 (3.7%)of all study population. Conclusions: We concluded that RHT had3.7% prevalence in HD patients