The present invention provides a method for making a multicore large diameter optical waveguide having a cross-section of at least about 0.3 millimeters, two or more inner cores, a cladding surrounding the two or more inner cores, and one or more side holes for reducing the bulk modulus of compressibility and maintaining the anti-buckling strength of the large diameter optical waveguide. The method features the steps of: assembling a preform for drawing a multicore large diameter optical waveguide having a cross-section of at least about 0.3 millimeters, by providing an outer tube having a cross-section of at least about 0.3 millimeters and arranging two or more preform elements in relation to the outer tube; heating the preform; and drawing the large diameter optical waveguide from the heated preform. In one embodiment, the method also includes the step of arranging at least one inner tube inside the outer tube.