The Certificate of Need is the basic element for planning new facilities for medical care, as well as, the acquisition of new technologies is based on technical analysis, epidemiological and demographic needs of health care. It is the instrument by which the new infrastructure and strengthening actions, expansion or replacement of the Federal, as well as, for the highly specialized federal, are incorporated into the Master Plan Infrastructure Health Physics (Cimasi, Robert, 2005). The Certificate of Need is issued by the Ministry of Health through the Directorate General of Health Planning ...