Despite the growing popularity of English for Medical Purposes courses for nurses and nursing students in the East Asian region, relatively little research has been done to investigate whether these courses meet students' specific pragmatic or learning needs. Drawing on the analysis of questionnaires and interview data collected from 66 South Korean nursing students who enrolled in the Medial English course, the study aims to demonstrate the students' specific learning purposes and their pragmatic needs that are highly relevant to the values and conventions of the target discourse community. The findings of the study suggest that while most students agree with the need for English for Specific Purposes courses, they report that the current courses do not fully fit their needs and expectations because of (a) an English-only classroom policy, (b) limited academic literacy in English, and (c) non-localized materials. Findings help language educators, policy makers and researchers in the East Asian region to better understand the importance of looking at specificity of English for Medical Purposes courses and the students' unique needs, and provide them with suggestions for enhancing the effectiveness and specificity of English for Medical Purposes courses.