She appointed Edith H. J. Dobelle as the first Chief of Staff to the First Lady, who described her role as ensuring the office's smooth operation.

By the late 20th century, First Ladies’ chiefs of staff were integral in managing press relations, social scheduling, and correspondence.

The position also became involved in policy development, particularly in administrations where the First Lady undertook advocacy roles, such as Hillary Clinton’s health care initiatives.

This includes managing the work of departments such as policy and projects, scheduling, advance, correspondence, press, and the social office.

[3] The position also involves coordinating with the White House Chief of Staff and other executive offices, ensuring alignment with the administration’s broader goals.