| Competition: | Macedonian First League |
| Season: | 2002–03 |
| Winners: | Vardar 5th Macedonian title 6th domestic title |
| Relegated: | Pelister Kumanovo |
| Continentalcup1: | Champions League |
| Continentalcup1 Qualifiers: | Vardar |
| Continentalcup2: | UEFA Cup |
| Continentalcup2 Qualifiers: | Belasica Cementarnica |
| Continentalcup3: | Intertoto Cup |
| Continentalcup3 Qualifiers: | Pobeda |
| League Topscorer: | Ljubiša Savić (25 goals) |
| Dates: | 10 August 2002 – 1 June 2003 |
| Biggest Home Win: | Belasica 6–0 Pelister Cementarnica 6–0 Kumanovo |
| Biggest Away Win: | Kumanovo 0–4 Cementarnica |
| Highest Scoring: | Pelister 3–6 Sloga |
| Matches: | 198 |
| Total Goals: | 540 |
| Prevseason: | 2001–02 |
| Nextseason: | 2003–04 |
The 2002–03 Macedonian First League was the 11th season of the Macedonian First Football League, the highest football league of Macedonia. The first matches of the season were played on 10 August 2002 and the last on 1 June 2003. Vardar defended their championship title, having won their fifth title, second in a row.
Relegated to 2002–03 Second League
|
Relegated to 2003–04 Second League |
Every team will play three times against each other team for a total of 33 matches. The first 22 matchdays will consist of a regular double round-robin schedule. The league standings at this point will then be used to determine the games for the last 11 matchdays.
| Rank | Player | Club | Goals |
|---|---|---|---|
| 1 | Ljubiša Savić | Bregalnica Delchevo & Sloga Jugomagnat | 25 |
| 2 | Zoran Baldovaliev | Belasica | 21 |
| 3 | Vasko Georgiev | Napredok & Bregalnica Delchevo | 15 |
 Rogério Oliveira | Vardar | ||
| Antonio Tasev | Tikvesh | ||
| 6 | Dragan Dimitrovski | Napredok & Pobeda | 13 |
| 7 |  Mario Petkov | Vardar | 12 |
| 8 | Goran Stankovski | Sloga Jugomagnat | 11 |
| 9 | Bojan Dimitrievski | Sileks | 10 |
Source: rsssf.org