| Competition: | Macedonian First League |
| Season: | 2003–04 |
| Winners: | Pobeda 1st domestic title |
| Relegated: | Tikvesh Bregalnica Delchevo |
| Continentalcup1: | Champions League |
| Continentalcup1 Qualifiers: | Pobeda |
| Continentalcup2: | UEFA Cup |
| Continentalcup2 Qualifiers: | Sileks Sloga Jugomagnat |
| Continentalcup3: | Intertoto Cup |
| Continentalcup3 Qualifiers: | Vardar |
| League Topscorer: | Dragan Dimitrovski (25 goals) |
| Dates: | 8 August 2003 – 30 May 2004 |
| Biggest Home Win: | Sloga 12–1 Bregalnica (D) |
| Biggest Away Win: | Bregalnica (D) 0–9 Sileks |
| Highest Scoring: | Sloga 12–1 Bregalnica (D) |
| Matches: | 198 |
| Total Goals: | 607 |
| Prevseason: | 2002–03 |
| Nextseason: | 2004–05 |
The 2003–04 Macedonian First League was the 12th season of the Macedonian First Football League, the highest football league of Macedonia. The first matches of the season were played on 8 August 2003 and the last on 30 May 2004. Vardar were the defending champions, having won their fifth title. The 2003-04 champions were Pobeda who had won their first title.
Relegated to 2003–04 Second League |
Relegated to 2004–05 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 | Dragan Dimitrovski | Pobeda | 25 |
| 2 | Ivica Gligorovski | Sileks | 18 |
| Stevica Ristić | Sileks | ||
| 4 |  Wandeir | Vardar | 17 |
| 5 | Ljubiša Savić | Sloga Jugomagnat | 15 |
| 6 | Nikolche Zdravevski | Pobeda | 14 |
| 7 | Blazhe Ilijoski | Rabotnichki | 13 |
| 8 | Sasho Krstev | Pobeda | 11 |
| Aleksandar Toleski | Cementarnica | ||
Source: rsssf.org