Prehypertension represents an intermediate state between normal blood pressure and established hypertension. It serves as an early warning sign of impending cardiovascular risk. Prehypertension is defined as systolic blood pressure of 120–139 mmHg and/or diastolic blood pressure of 80–89 mmHg and represents an early stage in the development of hypertension. Although not directly described in Ayurvedic classics, prehypertension can be conceptually understood through conditions such as Raktagata Vata, Vyana Vata vaishamya, and Rakta-dushti with involvement of Pitta and Kapha. Ayurvedic etiological factors including improper diet, sedentary lifestyle, and mental stress correspond closely with modern risk factors. The pathogenesis involves disturbance of Dosha balance and impaired circulatory regulation. Modern medicine emphasizes lifestyle modification in the management of prehypertension, which aligns well with Ayurvedic principles of Pathya-ahara, Dinacharya, Yoga, and preventive care. Thus, Ayurveda provides a holistic framework for early intervention to prevent progression to hypertension.This conceptual study aims to explore the definition, epidemiology, etiological factors, pathophysiology, clinical implications, and preventive strategies related to prehypertension, emphasizing its importance in public health and preventive medicine.