The aim of this research is to suggest policy proposals to enhance bilateral cooperation for SMEs (small and medium sized enter-prises) between Korea and the Middle East. Towards this goal, Chapter 2 examines the significance of SMEs in the Middle Eastern economy and their characteristics with comparison of business environment by country in the region. Chapter 3 explains SME promotion policies conducted in the region on the basis of case studies of Saudi Arabia, UAE, Egypt and Tunisia. Chapter 4 analyzes major difficulties that Korean SMEs have in the region using the results of a survey conducted in 2018. Chapter 5 draws some policy proposals for SME cooperation between Korea and the Middle East based on case studies and survey results.