Due to the globalization, there has been a great demand for learning English for Specific Purposes (ESP) in different fields. How to teach medical terminology effectively to pre-service medical professionals is one of the main challenges that ESP instructors encounter in their English in Medicine classrooms. A variety of factors, including but are not limited to student learning style preference, prior knowledge, classroom facilities should be considered. In this study, we conducted a case study of 20 students in an ESP class to explore their learning style preference. This study employed two data collection instruments: questionnaire and interview. Data analysis interestingly revealed that the location of students’ secondary education has an influence on their perceptual learning style preference of medical terminology at tertiary level. Drawing on the results, this study argues for a balance between student learning preference and teaching mythology. Keywords: ESP, perceptual learning style preference, medical terminology DOI: 10.7176/JLLL/66-06 Publication date:March 31st 202