Many past bearers of the title were homemakers, albeit as hostesses of Malacañang Palace; Ramos raised some eyebrows in conservative circles when, after her husband's accession following the 1992 elections, she refused to resign as the registrar of International School Manila, which was then located in Makati.

[7] Despite her new, exalted rank as consort to the head of state, she dutifully reported to the registrar's office much to the delight of female professionals.

Her achievements in the environmental field are considerable as well, having campaigned for the rehabilitation and conservation of the Pasig River, which received prominent attention during her husband's rule.

[12] In the early hours of June 27, 2011, Ramos' daughter, Josephine, passed away due to lung cancer at the age of 54 at The Medical City in Pasig, Metro Manila.

[13] Aside from being a sportswoman, Ramos is also recognized as a talented amateur pianist, performing on several occasions with the Executive Combo Band of Raul Manglapus.