Pressure tubes made of Zr-2.5 wt% Nb alloy are important components consisting reactor coolant pressure boundary of a pressurized heavy water reactor, in which unanticipated through-wall cracks and rupture may occur due to a delayed hydride cracking (DHC). The Canadian Standards Association has provided deterministic and probabilistic structural integrity evaluation procedures to protect pressure tubes against DHC. However, intuitive understanding and subsequent assessment of flaw behaviors are still insufficient due to complex degradation mechanisms and diverse influential parameters of DHC compared with those of stress corrosion cracking and fatigue crack growth phenomena. In the present study, a deterministic flaw assessment program was developed and applied for systematic integrity assessment of the pressure tubes. Based on the examination results dealing with effects of flaw shapes, pressure tube dimensional changes, hydrogen concentrations of pressure tubes and plant operation scenarios, a simple and rough method for effective cooldown operation was proposed to minimize DHC risks. The developed deterministic assessment program for pressure tubes can be used to derive further technical bases for probabilistic damage frequency assessment.