Hem Karna Paudel Nepali Congress Municipal election for Itahari took place on 13 May 2022, with all 102 positions up for election across 20 wards.

An indirect election will also be held to elect five female members and an additional three female members from the Dalit and minority community to the municipal executive.

[3][4] Hem Karna Paudel from Nepali Congress was elected as the mayor of the metropolitan city defeating CPN (UML) candidate.

The sub-metropolitan city was created in 2014 by merging nearby village development committees into Itahari municipality.

[7] In the previous election, Dwarik Lal Chaudhary of the CPN (Unified Marxist–Leninist) was elected as the first mayor of the sub-metropolitan city.