Korea has a unique feature for telemedicine, including geographical mal-distribution of medical resources, immature health care delivery and heavy traffic in metropolitan areas. As one solution for these issues, we developed a tele-primary care system and tested its feasibility and user satisfaction. The tele-primary care system is based on PC's with videoconferencing hardware. The patient PC equipped with diagnostic peripherals such as blood pressure, stethoscope, magnifying camera, and so on. There are two remote clinics and 4 homes which are connected to the telecare center through leased lines or fast internet. Three hundred ninety eight patients were seen during the period of one year and each made about 2 visits on an average. The health problems seen through tele-primary care were not different from ones in primary care clinics. Drugs were prescribed over the half of the visits and labs were used only infrequently. Most users were satisfied and felt comfortable with this new type of medicine. We found tele-primary care system would be one solution for health delivery issues in Korea.