Lα1,2, Lβ1,3,4, Lβ2,15, Lγ1(5) and Lγ2,3(4,4′) X-ray production cross-sections have been measured on selected medium-Z elements using 16O ions with energies from 0.19 to 0.75 MeV u−1. Calculated L-subshell ionization cross-sections were compared with the predictions of the direct ionization theories: the ECPSSR theory, the semiclassical approximation (SCA) in the united atom limit (SCA-UA) and SCA coupled-channel calculations (SCA-CC) involving a few lowest lying states. For the ECPSSR theory, large discrepancies were found for all three subshells. Better overall agreement between the experiment and theory was found for the SCA-UA theory. SCA-CC calculations improved the agreement between experiment and theory for the L2-subshell in the very adiabatic region. By measuring the Lα X-ray production cross-sections on W targets of different thickness, possible contribution of electron capture (EC) to the X-ray production cross-section was estimated to be less than 20%. The degree of multiple ionization of outer shells caused by heavy ion bombardment was estimated from the X-ray line energy shifts and by comparing the X-ray intensity ratios for heavy ions and protons.