The 1986–87 Midland Football Combination season was the 50th in the history of Midland Football Combination, a football competition in England.
| Competition: | Midland Football Combination Premier Division |
| Season: | 1986–87 |
| Winners: | Stratford Town |
| Promoted: | Paget Rangers |
| Matches: | 380 |
| Total Goals: | 1163 |
| Prevseason: | 1985–86 |
| Nextseason: | 1987–88 |
The Premier Division featured 18 clubs which competed in the division last season along with two new clubs, promoted from Division One:
Also, Walsall Borough changed name to Walsall Wood, Knowle North Star changed name to Knowle and Smethwick Highfield changed name to Ashtree Highfield.