Tobacco use is the leading preventable cause of death in many countries.Smoking is linked to high mortality. Therapies linked to cessation are always important. Cognitive-behavioral therapy (CBT) is a fundamental part associated with other therapeutic methodologies. During the pandemic period, CBT was initiated via telemedicine by telephone and/or video, comprising 4 sessions, with the other drug therapies being maintained. Aim: to analyze the use of telemedicine with CBT and smoking cessation. Methodology: descriptive study. Period 2021  to 2023. Data analyzed: frequency in 4 weekly sessions, age, gender, color/race, reduction in the number of cigarettes and smoking cessation. Result: 154 enrolled cases were analyzed, 114 women (74%), with a mean age of 54 years. 77 (54%) white, 65 (42%) black.92 (60%) people attended the 1rd session, 91(59%) the 2rd session. 83 (54%) people attended all 4 sessions.7(4.5%) people stopped smoking after 1rd session. 5% after 2rd session, 19 (12%) people after 3rd session and 27(17%) people at 4rd session. 5% reduce 50% on the 1rd session, 25 (16%) people reduced by 50% in the second session,18% on 3rd and 5% on the 4rd session .14 (9%) people gave up or had difficulties. In Brazil, the prevalence of smoking peaks between 50 and 54 years for both sexes.Conclusion:Brazil has been recognized internationally for actions in the field of regulation, education, prevention and governance for tobacco control.Thinking about strategies using telemedicine can enhance actions and strengthen UN Sustainable DGs.Telemedicine with CBT was important for the reduction of smoking in the 4 week period and can be an important tool in smoking cessation