This study focuses on the relationship between Pilkada and performance of Aceh Barat Health Office. aims to analyze relevance power politics West Service bureaucracy that has not been optimal, find a solution so is protected from political impact Pilkada. The main theories used are Peter Merkl's theory (Budiardjo, 2007), Weber's bureaucratic neutrality (Miftah Thoha, 2014) Sofian Effendi, 2018)...