Introduction: As part of a comprehensive study aimed at the reorganization of urban health services, this article describes the therapeutic itinerary of the urban patient in Goma city, Eastern Democratic Republic of Congo; the aim of this study was to identify the kind of health services attended by the urban patients. Methods: This descriptive and cross-sectional study was conducted using a random sampling procedure of 1000 household in Goma city in September 2017. The collected data were collected by professionals encoded and analyzed by statisticians using the SPSS version 23 software. Results: In an episode of sickness, more than half of patients (51%) sought from pharmaceutical offices without a prescription or self-medication, 25% used a structure with a doctor and only 7% sought treatment at the health facility of its health area. In addition, 7% of patients did not use any care while 3% of patients look first treatment in traditional pharmacopoeia. Higher levels of non-use of health care and mortality were noted in households with a female household head. On the other hand, there were no significant difference in the type of care, quality and perceptions of direct cost of care (P>0.05) depending on the head household gender. Discussion and Conclusion: The important recourse of the urban patient to self-medication and secondarily to health services with doctors, requires rethinking the organization and regulation of urban health services and pharmaceutical institutions.