Design thinking is an important and necessary process to develop pre-service teachers, especially majoring in physical education and health education. It assists them in improving their learning design, creating innovations that promote knowledge and designing services that enhance innovation in physical education and health education in the community. Therefore, the objectives of this study are to investigate the needs of developing design thinking that boosts the organization of learning activities in physical education and health education of 364 pre-service teachers at Faculty of Education of 11 Northeastern Rajabhat Universities, Thailand. The research tools consist of a questionnaire of the necessity of design thinking, including five levels of options indicating current conditions and five levels of expected needs. In addition, statistics used for the data analysis is mean, standard devi-ation and the index value of the importance of the needs. The results of the study showed that in Aspect 1 (Empathize), the overall needs index is at the level of 0.80, the current condition at (M = 2.30, S.D. = 0.90), and the expected needs at (M = 2.30, S.D. = 0.90). For the Aspect 2 (Define), the overall needs index is at the level of 0.72, the current condition at (M =2.41, S.D.= 0.93) and the expected needs at (M =4.15, S.D.=0.77). In addition, for the Aspect 3 (Ideate), the overall needs level is at 0.66, the current condition at (M = 2.50, S.D.=0.93) and the expected needs at (M = 4.14, S.D.=0.77). Moreover, in the Aspect 4 (Prototype), the overall needs index is at 0.66, the current condition at (M =2.49, S.D.=0.94) and the expected need at (M =4.13, S.D.=0.79). Finally, in the Aspect 5 (Test), the overall needs index is at 0.61, current condition at (M =2.56, S.D.=0.94) and expected needs at (M =4.13, S.D.=0.80).