This study analyzed food deserts formation in local mid-sized cities and clarified following 3 points. First, food deserts in local mid-sized cities occurred depending on when that area urbanized, and it is difficult to understand where food desert is by single governmental standard. Second, various supportive activities in food desert areas are originally started not to solve food desert problems in that area. Third, even in compact city areas, there remains food deserts with no supports. To designate as compact city area has aspects of guaranteeing minimum ordinary life service, therefore complemental approaches of maintaining food accessibility are necessary.