Hypertension is a risk factor for peripheral arterial disease. Hypertension contributes to the pathogenesis of atherosclerosis, the underlying pathological process of peripheral vascular disease. Peripheral arterial disease more commonly occurs in the lower extremities and can cause fatigue, cramping sensations, or pain. Garlic supplements have shown effectiveness in reducing blood pressure in hypertensive patients. This study aimed to investigate the effect of black garlic bawang lanang on ankle brachial index (ABI) in hypertensive respondent. The research method used a quasi-experimental design with one group and a total sample of 20 respondents. The sampling technique used consecutive sampling. Intervention was done with black garlic preparation for 14 days with a dose of 6 gr/day. The instrument used was a digital sphygmomanometer to measure the ABI value. Statistical data analysis used the Paired T-Test. The average ABI value before the intervention was 1.02, and after the intervention, it was 1.05. The statistical test results showed a significant difference in the mean ABI value (p <0.05). The intervention with black garlic with a dose of 6gr/day for 14 days increased the ankle brachial index value in hypertensive respondents. Further research is needed to confirm the long-term safety of consuming black garlic.