In order to realize the rational management and disposal of radioactive waste like DIS or its clearance as performed in Europe, North America, and Japan, we investigated the situation of medical radioactive waste in Korea and its enforcement. We visited three major Korean facilities in May 2008 and confirmed details of the procedure being used by administering a questionnaire after our visit. From the results, we were able to verify that the governmental agency had established regulations for the clearance of radioactive waste as self-disposal based on the clearance level of IAEA in Korea and that the medical facilities performed suitable management and disposal of radioactive waste based on the regulations and superintendence of a radiation safety officer. The type of nuclear medicine was almost the same as that in Japan, and the half-life of all radiopharmaceuticals was 60 days or less. While performing regulatory adjustment concerning the rational management and disposal of radioactive waste in Korea for reference also in this country, it is important to provide an enforcement procedure with quality assurance in the regulations.