The present study aims to analyze the limits and possibilities of interventions with male perpetrators of violence (MPV) within the health context. Considering gender-based violence against women as a social, historical, and multifaceted construct that violates women s human rights and impacts their lives, the objective is to identify how the health sector directs its practices towards addressing gender-based violence through interventions with the perpetrators. Adopting a qualitative approach, the research process involved conducting semi-structured interviews with eleven professionals from a health unit located in the West Zone of the city of Rio de Janeiro. Data analysis was carried out using the method of interpretation of meanings, which involved a comprehensive reading of the selected material, a detailed exploration of the data, and the development of an interpretative synthesis. The results indicate that the gender determinant is not central to the organization of health work aimed at addressing gender-based violence. The phenomenon mainly manifests in health services through women s complaints, while male perpetrators of violence (MPV) remain invisible, reinforcing the binary of woman as victim and man as aggressor. The study shows that men are present in health services, but there is no prioritization or identification of their needs due to a lack of professional training, the overload of health services, and limited interest from management in consolidating this work. Although there is recognition of the perpetrators of violence as subjects with the right to care, the health sector has made little progress in promoting comprehensive access, with few effective guidelines for intervening in the field of gender-based violence. There is a consensus among professionals that the health sector has much to contribute to this work through health education processes: reflective groups, campaigns, and community actions. The importance of network collaboration, professional training, and the expansion of knowledge hubs is highlighted as essential to strengthen these interventions.