Background: Careful anesthetic management is crucial for hypertensive patients undergoing surgery. The purpose of this research was to evaluate the hemodynamic stability of lidocaine versus fentanyl during the post-induction period in hypertensive adults. Methods: This randomized, controlled, double-blinded trial involved 40 hypertensive patients aged 18-60 years with American Society of Anesthesiologists Physical Status (ASA) II, who were randomly assigned to receive either lidocaine (1.5 mg/kg) or fentanyl (2 μg/kg) for anesthetic induction. Hemodynamic measures, such as heart rate, blood pressure, and mean arterial pressure (MAP), were documented at different time intervals.