A growing body of literature focuses on choice of studies in the context of policies on widening participation in higher education and graduates' difficulties in the labour market. Drawing on research findings showing a relationship between social class and choice of studies, we conducted a qualitative study on first-year medical students in a Greek university. The research aim was to examine the seemingly paradoxical choice of medical school, given the contradiction between the great investment in time, effort and money required, and inflation of medical graduates and high unemployment levels. Apart from the impact of social class, findings suggest that choice is also strongly influenced by the broader context of the social and financial relations, and the education system. We argue that any attempts to analyse choice processes need to accommodate the specific national characteristics and peculiarities.