Its full name is Final Agreement for the settlement of the differences as described in the United Nations Security Council resolutions 817 (1993) and 845 (1993), the termination of the Interim Accord of 1995, and the establishment of a strategic partnership between the Parties.

Greece further accused the Republic of Macedonia of appropriating symbols and figures that are historically considered part of Greek culture, such as the Vergina Sun and Alexander the Great.

[8][9] Specifically, Article 7 mentions that both countries acknowledge that their respective understanding of the terms "Macedonia" and "Macedonian" refers to a different historical context and cultural heritage.

When reference is made to the Republic of North Macedonia, these terms denote its territory, language and people, with their own, distinctly different, history and culture.

[11] The agreement was signed at Lake Prespa, a body of water which forms a partial common border between the Republic of North Macedonia, Greece and Albania.

EU Foreign Affairs chief Federica Mogherini and commissioner Johannes Hahn also issued a joint statement congratulating the two prime ministers "in reaching this historic agreement between their countries, which contributes to the transformation of the entire region of Southeast Europe.

[24] In Macedonia, protests went violent at Skopje, and Macedonian SDSM MP Hari Lokvenec, who attended the Prespa ceremony, had his parliamentary vehicle set on fire at Bitola by unidentified perpetrators.

[29] Additionally, the conservative New Democracy party filed a motion of no-confidence against Tsipras in parliament because of the name deal,[30] which was rejected two days later with a simple parliamentary majority; 153 against it, 127 for.

[32] Following his departure as Greek foreign minister, Kotzias stated in October 2018 that key reasons for the Prespa agreement were to bring stability to the Balkans and to stop Turkish influence within the region.

[45] A June 2020 poll in North Macedonia, conducted by the National Democratic Institute, showed that 58% of Macedonians support the Prespa agreement and that there is also strong public support for the country's Euro-Atlantic direction, with 74% positive opinions for NATO (of which North Macedonia has been a member since 27 March 2020) and 79% positive opinions for accession to the European Union.

[57][58] The Macedonian government announced that the statues of Alexander the Great, Philip II of Macedon, and Olympias of Epirus, which were raised as part of the Skopje 2014 program, will be given new inscriptions with clarifications that they symbolize the Ancient Greek period and are "honouring Greek-Macedonian friendship".

[63] On 25 June, the Greek Foreign Ministry informed the EU and NATO that Greece is no longer objecting to Macedonia's Euro-Atlantic accession under the new name.

[81][82] Mickoski expressed his hope that the Republic of Macedonia will be very soon a part of the NATO and EU families, "but proud and dignified, not humiliated, disfigured and disgraced.

[88][89][90] On 11 January 2019, the Macedonian Parliament completed the legal implementation of the Prespa Agreement by approving the constitutional changes for renaming the country to North Macedonia with a two-thirds parliamentary majority (81 MPs).

[91][92] The international community, NATO and European Union leaders, including Greek PM Alexis Tsipras and Austrian Chancellor Sebastian Kurz, as well as heads of neighboring states, congratulated the Macedonian Prime Minister Zoran Zaev.

[89][98] In exile in Hungary, the fugitive former Prime Minister Nikola Gruevski has condemned the Prespa agreement, stating that Zaev "scammed" and "tricked" the Macedonian people over the country's name change, and that the Greek politicians imposed an unfavourable deal upon North Macedonia that outlines exclusive claims over "antique history" by Greece.

[104] During the last week, public opinion poll showed that over 65% of the people were against the ratification of the Prespa agreement,[105] whereas many popular Greek artists (S. Xarhakos, V. Papakonstantinou J. Kotsiras etc.)

[107] On 23 January, just a day prior to the ratification in the Hellenic Parliament, hundreds of scholars, professors, writers and artists from all over Greece signed petitions in support of the Prespa agreement.

[108][109] In a February 2019 survey, a public opinion poll done for Sitel TV channel in North Macedonia showed 44.6% of respondents were positive about the Prespa agreement, while 45.6% were negative toward the accord.

[110] Shortly after the ratification of the deal, Greece's Alternate Foreign Minister Georgios Katrougalos signed, in the Greek Parliament, the enacted law of the Prespa Agreement.

[111] The international community, including the Prime Ministers Theresa May of the United Kingdom, Justin Trudeau of Canada, Boyko Borisov of Bulgaria and Edi Rama of Albania, Presidents Emmanuel Macron of France, Hashim Thaçi of Kosovo, Donald Tusk of the European Union, and Jean-Claude Juncker of the EU's Commission, USA's and Germany's foreign ministers, Michael Pompeo and Heiko Maas respectively, Romania's EU minister George Ciamba whose country held EU presidency, as well as NATO's chief Jens Stoltenberg, welcomed positively the ratification of the deal.

[b] Furthermore, the Republic of Macedonia's Prime Minister Zoran Zaev, in his congratulatory message to his Greek counterpart Alexis Tsipras, whom he called "a friend", described the ratification as a "historic victory" which "ends a long-standing diplomatic conflict between Athens and Skopje".

[128] On 8 June 2021, the President of the United States, Joseph Biden, signed the Executive Order 14033 for imposing economic sanctions and travel bans to any individuals who may try to undermine the Prespa Agreement.