The purpose of this study was to research production situation of made-to-measure clothes of ready-towear manufacturers for middle-aged women. This study will be the basis of developing production model of mass customized clothing for middle-aged women. For the questionnaire, 18 ready-to-wear manufacturers, which were producing made-to-measure clothes and in higher ranking of sales, were selected and the pattern makers of the manufacturers were questioned about 29 items for this research. The results of the questionnaire were as follows: 1. The production ratio of made-to-measure clothes was increasing and most manufacturers have problems making fitted clothes for each customer. 2. The most common reason to order made-to-measure clothes was the sizes according to the various somatotypes and the proportion difference of a body. 3. The common somatotypes of upper body for made-to-measure clothes were obesity, large bust, bent forward posture, and leaning back posture. 4. The common somatotypes of lower body for made-to-measure clothes were obesity, prominent abdomen, prominent abdomen-prominent hip, and prominent hip. 5. Pattern making for made-to-measure clothes was to use production patterns or make new patterns.