Introduction This article discusses an ethical dilemma that can affect healthcare organizations. Social media, for example Facebook, have been chosen and discussed to describe possible dilemmas, their history and the main ethical issues that may arise from their use. Social media was the topic discussed because technology is an essential aspect in today's world. However, several problems could arise if social media is not used professionally by healthcare professionals. Additionally, guidelines have been provided for healthcare facilities to be successful in using social media as a tool. Ethical dilemmas are circumstances in which moral prerequisites conflict and none of the requirements are canceled out. Furthermore, ethics involves a systematic process of reflection. Additionally, the presidential election in the United States spurred one hundred million users to join Facebook in 2008, about a month before Election Day. Facebook, a form of social media, played an important role in the 2012 U.S. presidential election (Carlisle & Patton, 2013). Likewise, Facebook or social media can be instrumental to healthcare needs. The outcome depends on the organization's education on social media and its choice of use. According to the Loyola University Health System (2015), the use of social media in healthcare organizations can lead to faster response to healthcare tragedies, improved communication between pharmaceuticals and other reminders, more personal healthcare facilities, and greater engagement of patients with their doctor. or healthcare facility. Overall, then, social media can be beneficial because health information can be available to more people. On the other hand, social media can become an ethical dilemma for healthcare institutions if employees do not use the system