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The name Isa refers to Isa ibn Salman Al Khalifah, the ruler of Bahrain from 1961 to 1999.

Isa Town largely comprises affluent newly constructed villas, and is home to many members of Bahrain's educated middle classes. In 2002's election it was one of the few areas of Bahrain not to be entirely represented by an Islamist or right wing MP, with Abdnabi Salman of the formerly communist Democratic Bloc winning the seat. In 2006's election, ex-Harvard academic, Dr Munira Fakhro of Waad lost in controversial circumstances to Sunni Islamist Dr Salah Ali of Al-Menbar Islamic Society.

It was one of the twelve municipalities of Bahrain after being split off of the municipality of al Mintaqah al Wusta in 1988, and is now part of the Central Governorate.