Hypertension is one of the non-communicable diseases that commonly affects in the pre-elderly group. Long-term use of pharmacological therapy may cause side effects, thus non-pharmacological treatment alternatives such as complementary acupressure therapy are needed. This study aims to describe the level of knowledge of pre-elderly individuals regarding complementary acupressure therapy in managing blood pressure in the working area of Puskesmas I Denpasar Utara. This research is a quantitative descriptive study using purposive sampling technique The total population in this study was 175 individuals, with a sample size of 65 respondents. Data were collected using a questionnaire that had been tested for validity and reliability. The results showed that most respondents had a low level of knowledge with 41 people (63.1%) categorized as having poor knowledge and
24 people (36.9%) as having moderate knowledge. Crosstabulation analysis revealed that the majority of respondents with poor knowledge were in the age group of 50–54 years (17 people, 41.5%), female (23 people, 56.1%), had a senior high school education (16 people, 39.0%), and worked as housewives/teachers/retirees (22 people, 53.7%). The lack of knowledge was influenced by limited exposure to information about complementary therapy, especially acupressure. Therefore, health education and promotion efforts need to be enhanced so that pre-elderly individuals can understand and independently apply acupressure therapy as an alternative in managing blood pressure.