It started in September 2009 and ended in May 2010 with the promotion play-offs.
Naxxar Lions, Mgarr United and Marsa were relegated from the 2008–09 Maltese Second Division.
In the Championship play-off Zejtun bet Mgarr 4–3 to win the Division.
In the promotion play-offs semi-final Gudja United beat Santa Venera, who finished 10th in the Second Division.
In the final Naxxar Lions defeated Gudja on penalties to win promotion.