Membrane distillation (MD) is a thermally driven desalination process with a hydrophobic membrane. MD process has been known to have a lower fouling potential compared to other pressure-based membrane desalination process (NF, RO). However, membrane fouling also occurs in MD process. In this study, the membrane fouling was observed in MD process according to the pre-treatment processes. The filtration and precipitation processes were applied as the pre-treatment to prevent the membrane fouling. The pore sizes of roughing filters were 0.4, 5, 10, 30, and 60 ㎛. The concentration of the coagulant was 1.2 mg/L as FeCl3. The membrane fouling on MD membrane was successfully removed with both pre-treatment processes.