2019-09-042019-09-042019-09-042019-06-05https://ri.ucsal.br/handle/prefix/956Primary Care is the main entry point of the population for the public health service, offered in the Basic Units and Health Units of the family. For the management of the units is necessary to the figure of a manager who most of the time goes through difficulties. Objective: The objective of this research is to verify the challenges facing management in PHC and management practices in PHC service within the scope of the Unified Health System (SUS). Methodology: This is a literature review, of the type of integrative literature review, introduced in the area of management. Result: After studying, he observed that the management process goes through numerous difficulties such as false autonomy that managers have to solve the problems of the units, the great demand of users, lack of human resources, materials, inputs and information system. Conclusion: Even though there are many difficulties in primary care, and it is notorious that the difficulties faced in the management notes the fundamental role of the managerAcesso AbertoGerenciamentoDificuldadesAtenção primária à saúdeGerenteManagementDifficultiesPrimary health care managerTrabalho de Conclusão de CursoCiências da Saúde