This paper discusses the possible similarities between worker's health surveillance practices and the health promotion approach, as well as the differences and challenges of worker's health surveillance vis- -vis this other public health concept, seeking to reflect on the pertinence, relevance, and feasibility of the health promotion perspective for Worker's Health. The author contends that there are many theoretical and methodological points in common between the two approaches and raises the need for Worker's Health Surveillance to incorporate Health Promotion activities more effectively in order to make Worker's Health Surveillance activities more effective and consolidate itself as a public health field.