Academic advising is vital for career development and better student achievement. No researchers have evaluated the pattern of and the student's perception of academic perception. This study aimed to assess the same among Saudi medical students at the University of Tabuk. We conducted a cross-sectional among randomly selected 248 medical students, at the Faculty of Medicine, University of Tabuk, Saudi Arabia. The study was conducted during the period from March 2023 to April 2023. A structured questionnaire based on demographic data, the pattern of academic advising, and the student's perception of academic advising was used. Out of 248 medical students (58.1%) were from the basic years), more than one-third (36.5%) of the students thought that academic advising is not important, and 60.5% and 44.8% suggested that it should be optional and target-specific groups of students. The sessions took 10-15 minutes in 79%, the students preferred afternoon and evening sessions (82.7%), and one-to-one in 77.8%. The perception of medical students of academic advising is good, 73.4% believed that communication is good, and 68.5% were convinced about their adviser's help, preparation, and knowledge. The students thought that their adviser was familiar with their academic background, a good listener, and easy to approach 60.4%, 70.1%, and 81.1% respectively. The academic advising session was short, ranging from 1-7session/per year, and the students prefer afternoon and evening sessions. Although, the students received academic advising as positive, a considerable percentages need to be convinced. The students found that their advisers were knowledgeable, easy to approach, and good listeners.