Background: Abdominal adiposity contributes to an elevated risk of cardiovascular disease (CVD) as well as morbidity in postmenopausal women. Although the diet-exercise program reduces the risk of CVD, the aim of this study was to determine how adding cryolipolysis to the diet-exercise program affected cardiovascular risk factors in obese hypertensive postmenopausal women in order to improve cardiometabolic health outcomes. Subjects: This study included 40 postmenopausal women with blood pressure (BP) ranging from 140/90 to 180/110 mmHg, ages ranging from 50 to 60 years, BMI of 30-35 kg/m2, and waist-hip ratio (WHR) of 0.81 to 1.0. They were selected at random to two groups of equal number. For 12 weeks, both the control and study groups received a DASH diet and aerobic exercise three sessions a week, The study group also received one session of cryolipolysis each week for 12 weeks. Weight, body mass index, waist hip ratio (WHR), waist circumference (WC), skin fold thickness, blood pressure (BP), and lipid profile (including cholesterol, LDL-C, HDL-C, and triglycerides) were evaluated before and after treatment. Results:After treatment, both the control and study groups detected significant reductions (p<0.05) of weight, BMI, WC, WHR, skin fold thickness, BP, cholesterol, LDL-C, HDL-C, and triglycerides. The study group significantly reduced weight, BMI, waist circumference, and skin fold thickness (p<0.05) compared to the control group. Conclusion:Cryolipolysisis an effective adjunctive therapy added to a diet-aerobic exercise programfor reducingweight, WC,BMI,and abdominal fat in obese hypertensive postmenopausal women