The article explores the political and legal tensions of the institutional articulation of the judicial, legislative and executive branches in the regulation of pious homicide in Colombia. It shows how it has been the Constitutional Court who has insisted that the matter should be regulated since 1997. It also analyzes how, since then, there has been no harmonious collaboration from the Congress, due to the failure of legislative initiatives to regulate the matter, partly because of strong ideological disputes and ethical discussions within that institution. It also discusses the role of the Ministry of Health and Social Protection, which, in the face of congressional inactivity and under pressure from the Court, adopted some parameters to regulate euthanasia in the country. Finally, it is concluded that behind the normative struggles there are political struggles, since these are, as Bobbio pointed out, two sides of the same coin.