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The study aims to characterize the process by which the territory managers of the Health Strategy of the Family-HSF ascended to the position and the limits and/or ease found by them in their work process. The research is of a predominantly Qualitative approach, accomplished in Sobral-Ceará, with 28 territory managers of the HSF, in the period of November of 2006 to June of 2007. The process that took the managers to the position, does not take into consideration a profile of competences, occurring in a handmade administrative way. The main ease in the managers' process work mainly happens, due to the good relationship with the team and its commitment. Yet the difficulties refer the conciliation of the nurse activities and management and lack of training for management.