Abstract: Most of the rural and urban people, live in under poverty, are deprived from health care services for lack of sufficient Doctors and Nurses as well as their ignorance and unawareness. It is not possible for Doctors and Nurses to diagnose them properly considering all the factors that are responsible for their illness. In this context, Medical social work can make the medical care fruitful and effective. But a lot of problems make hamper the successful use of medical social work in Bangladesh. In this paper the authors have tried to identify those problems and provided some recommendations.