diff --git a/src/components/secretaria/SecretaryAppointmentList.tsx b/src/components/secretaria/SecretaryAppointmentList.tsx
index bebc2a694..a2a267385 100644
--- a/src/components/secretaria/SecretaryAppointmentList.tsx
+++ b/src/components/secretaria/SecretaryAppointmentList.tsx
@@ -123,6 +123,11 @@ export function SecretaryAppointmentList() {
     // Mapeia o valor selecionado no select para o valor real usado na API/data
     const mapStatusFilterToValue = (label: string) => {
       if (label === "Todos") return null;
+      // Se já é um valor de API, retorna ele mesmo
+      if (['requested', 'confirmed', 'checked_in', 'in_progress', 'completed', 'cancelled', 'no_show'].includes(label)) {
+        return label;
+      }
+      // Mantém mapeamento legado por compatibilidade
       const map: Record<string, string> = {
         Confirmada: "confirmed",
         Agendada: "requested",
@@ -249,6 +254,50 @@ export function SecretaryAppointmentList() {
     loadAppointments();
   };
 
+  const handleStatusChange = async (appointmentId: string, newStatus: string) => {
+    try {
+      console.log(`[SecretaryAppointmentList] Atualizando status da consulta ${appointmentId} para ${newStatus}`);
+      
+      await appointmentService.update(appointmentId, { 
+        status: newStatus as any 
+      });
+      
+      toast.success(`Status atualizado para: ${
+        newStatus === 'requested' ? 'Solicitada' :
+        newStatus === 'confirmed' ? 'Confirmada' :
+        newStatus === 'checked_in' ? 'Check-in' :
+        newStatus === 'in_progress' ? 'Em Atendimento' :
+        newStatus === 'completed' ? 'Concluída' :
+        newStatus === 'cancelled' ? 'Cancelada' :
+        newStatus === 'no_show' ? 'Não Compareceu' : newStatus
+      }`);
+      
+      loadAppointments();
+    } catch (error) {
+      console.error("Erro ao atualizar status:", error);
+      toast.error("Erro ao atualizar status da consulta");
+    }
+  };
+
+  const handleDeleteAppointment = async (appointmentId: string) => {
+    if (!confirm("Tem certeza que deseja cancelar esta consulta?")) {
+      return;
+    }
+    
+    try {
+      await appointmentService.update(appointmentId, { 
+        status: "cancelled",
+        cancelled_at: new Date().toISOString(),
+        cancellation_reason: "Cancelado pela secretaria"
+      });
+      toast.success("Consulta cancelada com sucesso!");
+      loadAppointments();
+    } catch (error) {
+      console.error("Erro ao cancelar consulta:", error);
+      toast.error("Erro ao cancelar consulta");
+    }
+  };
+
   // Reset página quando filtros mudarem
   useEffect(() => {
     setCurrentPage(1);
@@ -355,10 +404,13 @@ export function SecretaryAppointmentList() {
               className="px-3 py-1.5 border border-gray-300 dark:border-gray-600 rounded-lg text-sm focus:ring-2 focus:ring-green-500 focus:border-transparent bg-white dark:bg-gray-700 text-gray-900 dark:text-gray-100"
             >
               <option>Todos</option>
-              <option>Confirmada</option>
-              <option>Agendada</option>
-              <option>Cancelada</option>
-              <option>Concluída</option>
+              <option value="requested">Solicitada</option>
+              <option value="confirmed">Confirmada</option>
+              <option value="checked_in">Check-in</option>
+              <option value="in_progress">Em Atendimento</option>
+              <option value="completed">Concluída</option>
+              <option value="cancelled">Cancelada</option>
+              <option value="no_show">Não Compareceu</option>
             </select>
           </div>
           <div className="flex items-center gap-2">
@@ -496,27 +548,58 @@ export function SecretaryAppointmentList() {
                     </span>
                   </td>
                   <td className="px-6 py-4">
-                    {getStatusBadge(appointment.status || "agendada")}
+                    <select
+                      value={appointment.status || "requested"}
+                      onChange={(e) => handleStatusChange(appointment.id, e.target.value)}
+                      className="px-3 py-1.5 text-xs font-medium rounded-full border-0 focus:ring-2 focus:ring-green-500 cursor-pointer"
+                      style={{
+                        backgroundColor: 
+                          appointment.status === "requested" ? "#fef3c7" :
+                          appointment.status === "confirmed" ? "#d1fae5" :
+                          appointment.status === "checked_in" ? "#fed7aa" :
+                          appointment.status === "in_progress" ? "#fed7aa" :
+                          appointment.status === "completed" ? "#dbeafe" :
+                          appointment.status === "cancelled" ? "#f3f4f6" :
+                          appointment.status === "no_show" ? "#fee2e2" : "#f3f4f6",
+                        color:
+                          appointment.status === "requested" ? "#92400e" :
+                          appointment.status === "confirmed" ? "#065f46" :
+                          appointment.status === "checked_in" ? "#9a3412" :
+                          appointment.status === "in_progress" ? "#9a3412" :
+                          appointment.status === "completed" ? "#1e40af" :
+                          appointment.status === "cancelled" ? "#4b5563" :
+                          appointment.status === "no_show" ? "#991b1b" : "#4b5563"
+                      }}
+                    >
+                      <option value="requested">Solicitada</option>
+                      <option value="confirmed">Confirmada</option>
+                      <option value="checked_in">Check-in</option>
+                      <option value="in_progress">Em Atendimento</option>
+                      <option value="completed">Concluída</option>
+                      <option value="cancelled">Cancelada</option>
+                      <option value="no_show">Não Compareceu</option>
+                    </select>
                   </td>
                   <td className="px-6 py-4">
                     <div className="flex items-center gap-2">
                       <button
                         onClick={() => handleViewAppointment(appointment)}
                         title="Visualizar"
-                        className="p-2 text-blue-600 hover:bg-blue-50 rounded-lg transition-colors"
+                        className="p-2 text-blue-600 hover:bg-blue-50 dark:hover:bg-blue-900 rounded-lg transition-colors"
                       >
                         <Eye className="h-4 w-4" />
                       </button>
                       <button
                         onClick={() => handleEditAppointment(appointment)}
                         title="Editar"
-                        className="p-2 text-orange-600 hover:bg-orange-50 rounded-lg transition-colors"
+                        className="p-2 text-orange-600 hover:bg-orange-50 dark:hover:bg-orange-900 rounded-lg transition-colors"
                       >
                         <Edit className="h-4 w-4" />
                       </button>
                       <button
+                        onClick={() => handleDeleteAppointment(appointment.id)}
                         title="Cancelar"
-                        className="p-2 text-red-600 hover:bg-red-50 rounded-lg transition-colors"
+                        className="p-2 text-red-600 hover:bg-red-50 dark:hover:bg-red-900 rounded-lg transition-colors"
                       >
                         <Trash2 className="h-4 w-4" />
                       </button>
diff --git a/src/components/secretaria/SecretaryDoctorSchedule.tsx b/src/components/secretaria/SecretaryDoctorSchedule.tsx
index f30a7a16c..029a7409a 100644
--- a/src/components/secretaria/SecretaryDoctorSchedule.tsx
+++ b/src/components/secretaria/SecretaryDoctorSchedule.tsx
@@ -516,24 +516,32 @@ export function SecretaryDoctorSchedule() {
         {/* Legenda */}
         <div className="mb-4 flex flex-wrap gap-3 text-xs">
           <div className="flex items-center gap-1">
-            <div className="w-3 h-3 rounded bg-yellow-100 border border-yellow-300"></div>
+            <div className="w-3 h-3 rounded bg-yellow-100 dark:bg-yellow-900 border border-yellow-300"></div>
             <span className="text-gray-600 dark:text-gray-400">Solicitada</span>
           </div>
           <div className="flex items-center gap-1">
-            <div className="w-3 h-3 rounded bg-green-100 border border-green-300"></div>
+            <div className="w-3 h-3 rounded bg-green-100 dark:bg-green-900 border border-green-300"></div>
             <span className="text-gray-600 dark:text-gray-400">Confirmada</span>
           </div>
           <div className="flex items-center gap-1">
-            <div className="w-3 h-3 rounded bg-blue-100 border border-blue-300"></div>
+            <div className="w-3 h-3 rounded bg-orange-100 dark:bg-orange-900 border border-orange-300"></div>
+            <span className="text-gray-600 dark:text-gray-400">Em Atendimento</span>
+          </div>
+          <div className="flex items-center gap-1">
+            <div className="w-3 h-3 rounded bg-blue-100 dark:bg-blue-900 border border-blue-300"></div>
             <span className="text-gray-600 dark:text-gray-400">Concluída</span>
           </div>
           <div className="flex items-center gap-1">
-            <div className="w-3 h-3 rounded bg-red-100 border border-red-300"></div>
-            <span className="text-gray-600">Bloqueio</span>
+            <div className="w-3 h-3 rounded bg-gray-100 dark:bg-gray-700 border border-gray-300"></div>
+            <span className="text-gray-600 dark:text-gray-400">Cancelada</span>
           </div>
           <div className="flex items-center gap-1">
-            <div className="w-3 h-3 rounded bg-purple-100 border border-purple-300"></div>
-            <span className="text-gray-600">Disponibilidade Extra</span>
+            <div className="w-3 h-3 rounded bg-red-100 dark:bg-red-900 border border-red-300"></div>
+            <span className="text-gray-600 dark:text-gray-400">Bloqueio</span>
+          </div>
+          <div className="flex items-center gap-1">
+            <div className="w-3 h-3 rounded bg-purple-100 dark:bg-purple-900 border border-purple-300"></div>
+            <span className="text-gray-600 dark:text-gray-400">Disponibilidade Extra</span>
           </div>
         </div>
 
@@ -593,21 +601,55 @@ export function SecretaryDoctorSchedule() {
                       minute: '2-digit',
                     })
                   : '';
+                
+                // Determina as cores baseado no status
+                let bgColor = '';
+                let textColor = '';
+                let borderColor = '';
+                
+                switch (apt.status) {
+                  case 'requested':
+                    bgColor = '!bg-yellow-100';
+                    textColor = '!text-yellow-800';
+                    borderColor = 'border-yellow-300';
+                    break;
+                  case 'confirmed':
+                    bgColor = '!bg-green-100';
+                    textColor = '!text-green-800';
+                    borderColor = 'border-green-300';
+                    break;
+                  case 'completed':
+                    bgColor = '!bg-blue-100';
+                    textColor = '!text-blue-800';
+                    borderColor = 'border-blue-300';
+                    break;
+                  case 'cancelled':
+                    bgColor = '!bg-gray-100';
+                    textColor = '!text-gray-600';
+                    borderColor = 'border-gray-300';
+                    break;
+                  case 'checked_in':
+                  case 'in_progress':
+                    bgColor = '!bg-orange-100';
+                    textColor = '!text-orange-800';
+                    borderColor = 'border-orange-300';
+                    break;
+                  case 'no_show':
+                    bgColor = '!bg-red-100';
+                    textColor = '!text-red-800';
+                    borderColor = 'border-red-300';
+                    break;
+                  default:
+                    bgColor = '!bg-gray-100';
+                    textColor = '!text-gray-600';
+                    borderColor = 'border-gray-300';
+                }
+                
                 return (
                   <div
                     key={`apt-${i}`}
-                    className={`text-xs p-1 rounded mb-1 truncate ${
-                      apt.status === "requested"
-                        ? "bg-yellow-100 text-yellow-800 dark:bg-yellow-900 dark:text-yellow-200"
-                        : apt.status === "confirmed"
-                        ? "bg-green-100 text-green-800 dark:bg-green-900 dark:text-green-200"
-                        : apt.status === "completed"
-                        ? "bg-blue-100 text-blue-800 dark:bg-blue-900 dark:text-blue-200"
-                        : apt.status === "cancelled"
-                        ? "bg-gray-100 text-gray-600 dark:bg-gray-700 dark:text-gray-300"
-                        : "bg-orange-100 text-orange-800 dark:bg-orange-900 dark:text-orange-200"
-                    }`}
-                    title={`${time} - ${apt.patient_id}`}
+                    className={`text-xs p-1 rounded mb-1 truncate border ${bgColor} ${textColor} ${borderColor}`}
+                    title={`${time} - Status: ${apt.status} - Paciente: ${apt.patient_id}`}
                   >
                     📅 {time}
                   </div>