Naxxar Lions and Lija Athletic were relegated from Maltese Premier League.
Msida Saint-Joseph and Senglea Athletic were promoted from Maltese Second Division.
Gozo and Xgħajra Tornados were relegated to Maltese Second Division.
Msida Saint-Joseph won the 2003 Championship and Balzan Youths were promoted to Maltese Premier League.
The Maltese First Division 2002–03 was made up of these teams: For a complete set of results, see 1