Disclosed is a random access method and apparatus for a reduced capability user equipment in a wireless communication system. A method of performing random access by a UE in a wireless communication system according to an embodiment of the disclosure may include an operation of receiving random access-related configuration information from a base station; an operation of determining at least one of a RACH occasion (RO) group related to random access preamble transmission, one or more ROs, and a random access preamble group based on at least one of the random access-related configuration information, a UE type, and a repetition level; and an operation of transmitting one or more random access preambles in each of the one or more ROs.