Background: Hypertension may induce structural and hemodynamic remodeling of the arteries, especially intima-media thickness and resistive index, which can lead to the development and progression of vascular complications such as atherosclerosis. Objectives: To compare the intima-media thickness and resistive index of common carotid artery in hypertensive patients to that of normotensive patients. Methodology: In this cross-sectional study, 60 hypertensive patients and 40 normotensive patients were included. B-mode and Doppler ultrasound imaging of the carotid arteries were done bilaterally using a Philips HD-11 scanner with linear array transducer. Carotid initima-media thickness and resistive index were assessed in all the subjects at 1.0 cm proximal to the carotid bulb in the common carotid artery. Statistical analysis was performed using chi-square, student t-test, Mann-Whitney U test and Pearson correlation co-efficient SPSS 20.0. Results: A significant increase was observed in the common carotid artery resistive index and right, left and average common carotid artery intima-media thickness in hypertensive groups when compared with normotensives (P = 0.00001). A strong association was observed between systolic and diastolic blood pressure and mean arterial pressure with common carotid artery initima-media thickness in hypertensive patients (P = 0.00001). Also, a significant association was observed between systolic blood pressure and mean arterial pressure with common carotid artery resistive index in the hypertensive group (P ≤ 0.05). Conclusion: These vascular alterations can be considered as an important risk factor, which can contribute to the development of atherosclerosis in future. Early screening of these parameters with ultrasonography and colour. Doppler evaluation has promising significance in preventing cardiovascular and cerebrovascular morbidities and mortalities.