Workplace stress is a critical public health concern that significantly contributes to the development and progression of hypertension, particularly among women juggling dual responsibilities at work and home. In Pakistan, the experiences of working women with stress-related hypertension remain underexplored, despite rising prevalence and its connection to social expectations and institutional neglect. Objectives: This study aimed to (1) explore how workplace-related stress contributes to hypertension in women; (2) identify organizational and interpersonal factors influencing stress levels; and (3) understand how working women balance professional and personal demands in the context of hypertension. Methods: A qualitative exploratory research design was used. The study included 20 working women, aged 20–40, from diverse fields and backgrounds, including both married and unmarried individuals, single mothers, and women with and without children residing in Rawalpindi/Islamabad. Women above 40, those with disabilities, morbid obesity, or secondary hypertension, and individuals under 20 were excluded. Participants were recruited using purposive and snowball sampling. Data were collected via in-depth, semi structured interviews guided by existing literature and validated by Subject Matter Experts (SMEs). Thematic Analysis was employed to analyze the data, following the six-step process outlined by Braun and Clarke (2018). Results: Participants reported experiencing overwhelming work routines, a lack of organizational support, and persistent role conflict between professional and domestic responsibilities. Common stress symptoms included physical exhaustion, poor sleep, and hypertension. Gendered expectations, the dual role of women, and the absence of institutional and spousal support amplified stress levels. Several women admitted to compromising their health due to job demands and family obligations. While coping strategies ranged from religious activities and hired help to medication use such as single, double, and triple drug combinations, and social support, many reported inconsistent treatment adherence due to time constraints or lack of awareness. Conclusion: The study highlighted the urgent need for structural changes in both workplace environments and societal expectations regarding gender roles. Promoting work-life balance, improving awareness about stress management and hypertension, and creating support systems for working women are essential for mitigating health risks. Multilevel interventions, personal, institutional, familial, and policy-based, were recommended to address this growing concern