The purpose of the study was to analyze the needs of teaching English for specific purposes for secondary students applying to medical faculties. The process was held as a first step to design a program based on ESP for general secondary stage students in Egypt. Using the descriptive approach, the tools were applied upon a random sample of (64) students. That includes a short questionnaire prepared by the researcher to distinguish the types of medical language-related difficulties they face in their first year at university. Also, the tools include the needs analysis survey, to measure their types and level of needs in learning ESP. the results showed that reading sub-skills came first needed by students with a total mean of (2.79) then listening sub-skills with a total mean of (2.40) then speaking sub-skills with a total mean of (2.35) and lastly writing sub-skills with a total mean of (2.18). based on the results, the researcher recommended the main objectives and content of teaching ESP for secondary students applying to medical faculties