Objectives: Although Korean Health Plans are first and official alcohol policies of Korean government, changes and implications have not scrutinized from. So we followed those from wider view for new era. Methods: We compared the alcohol-related policies of first to fifth Korean Health Plan. The implication was deducted from wider view based on recent international and domestic evidences. Results: Major effective alcohol control policies have only slowly and incrementally introduced in Korea. Regulating the availability of alcohol and marketing restrictions have tried recently. Pricing policies were not apparent in official policies. Regarding to changes of governance bodies, the Ministry of Health and Welfare (1stHP), the Korea Institute for Health and Social Affairs (2nd and 3rd HPs), and the Korea Health Promotion and Development Institute (4th and 5th HPs) were governance bodies. About changes in contents, in the latest HP, 6 divisions, 29 tasks, 83 projects, and 400 performance indicators were made and these are more confirmed than the previous plans. The 1st Health Plan 2010 launched a campaign with alcohol prevention education, establishment of a healthy drinking culture, educational counseling. In the 2nd New Health Plan 2020, it was changed to a more comprehensive plan, including consumption restrictions. In the 3rd plan, performance indicators such as high-risk drinking rate indicators and the number of projects were further expanded. In the representative indicators by sector, the adult high-risk drinking rate indicator was selected as the representative indicator. In the 4th and 5th plans, detailed projects and indicators were revised without major changes in the framework. Conclusions: Korean Health Plans have been improve continuously toward evidence based alcohol policy. More progresses are expected. In the future, it is thought that a diverse interdisciplinary approach will be necessary, focusing on the business fields and performance indicators approached in the Comprehensive National Health Promotion Plan.