The medical library, as a professional information center in relation to medical examination and treatment, research, and medical administration, should be operated under the rational and efficient library management. In that context, this study examines the theoretical underpinnings of the medical library management, and compares and analyzes, through direct visits, webpages, and statistical data, the current library operation of medical libraries in Seoul. This study also tries to make a managemental framework for the medical library by suggesting and discussing the result of this research.