Physical activity is recognized as one of the main component of lifestyle changes recommended in case of arterial hypertension, and its effects span beyond the reduction of cardiovascular events and mortality. Current guidelines recommend to integrate at least 30 minutes of moderate intensity physical activity on most days of the week, although some other types of activities and different durations have been shown to elicit similar benefits, as for example interval or resistance training. Ideally, a multidisciplinary team integrating an exercise specialist should accompany the patient, and the general practitioner evaluates the initial risk in order to decide which tests and activities are appropriate, all according to algorithms proposed in this review.