Among the secondary causes of pediatric hypertension, endocrine causes account for a relatively small proportion of all children with hypertension. An accurate diagnosis of endocrine hypertension offers clinicians the chance to achieve an optimal treatment with either specific pharmacologic treatment or surgery. Excess catecholamine, glucocorticoids, and mineralocorticoids, congenital adrenal hyperplasia, thyroid dysfunction, growth hormone deficiency, diabetes mellitus, and obesity-associated hypertension are the major endocrine disorders leading to pediatric hypertension.