BACKGROUND: This study attempted to develop a student counseling program to help students solve problems effectively by understanding what they want to be counseled by the medical students, what they want to be counseled according to their needs, and investigating their needs.METHODS: A survey was conducted to 278 medical students in a city using a questionnaire developed by three medical education experts.RESULTS: As a result of analyzing the preference for counseling contents, academic achievement counseling was the highest. A result of analyzing the preference of counseling contents by counselors are as follows; professor : selection of major (19.5%) and career and aptitude (16.0%), senior : learning method (22.9%) and major selection (14.1%), professional counseling agencies : selection of major (12.6%), emotion and personality (11.6%), non-anonymous online bulletin board : selection of major (19.5%) and career and aptitude (16.0%), anonymous online bulletin board : interpersonal relationships (15.9%) and selection of major (13.9%)CONCLUSIONS: Based on the analysis of medical student's preference of counseling contents and preference of counseling contents according to the counselor, The results of this study suggest that the counseling system can be used as a basic data for development.