En Colombia y especificamente para el caso del Municipio de Bucaramanga y su Area Metropolitana (Departamento de Santander, Region Nororiental), se interponen gran cantidad de acciones de tutela, para proteger el derecho a la salud. El presente Articulo se presenta como un avance de la investigacion denominada “Impacto de las acciones de tutela, como mecanismo de proteccion al derecho a la salud en el Area Metropolitana de Bucaramanga, periodo 2005-2008”. Se pretende dar razon de la forma como ha sido utilizada la accion de tutela en el area metropolitana de Bucaramanga, por parte de la ciudadania, para acceder al derecho a la salud. Abstract In Colombia and specifically for the case of the Municipality of Bucaramanga and their Metropolitan Area (Department of Santander, Northeastern Region), they intervene great quantity of actions of guidance, to protect the right to the health. The article is presented as an advance of the denominated investigation “Impact of the actions of guidance, as protection mechanism to the rights to the health in the Metropolitan Area of Bucaramanga, period 2005-2008”. it is sought to agree with like the action has been used of it guides in the metropolitan area of Bucaramanga, on the part of the citizenship, to consent to the right to the health.