Assessment of hypertensive arterial injury is one of the crucial points in diagnostic algorithm of hypertensive child. Evaluation of carotid intima-media  (cMT) and arterial stiffness has become a clinical routine in many centers. Together with assessment of left ventricular mass and function, assessment of arterial injury helps in making treatment decisions. Analysis of pulse wave analysis may add additional information about nature of hemodynamic disturbances. Another issue is the correct interpretation of vascular studies which requires use of appropriate referential values. In my talk I will discuss practical aspects of assessment of cIMT, pulse wave velocity and pulse wave analysis in hypertensive children.