The spouse of the prime minister of Malaysia is not an elected position, carries no official duties, and brings no salary.

It is common for the spouse of the prime minister of Malaysia to form organisations and hire a staff to support these activities.

It should however be borne in mind that such a title cannot exist in Malaysia in the first place, as "First Lady" exclusively refers to wives of presidents and not monarchs.

While the Prime Minister Abdullah Ahmad Badawi's first late wife, Tun Endon Mahmood Ambak underwent treatment for breast cancer in the United States, the title of "First Lady" was not officially designated.

The issue didn't stop there as there was an obscure new unit established within the Prime Minister's Department with the acronym FLOM (which was not explained on the website, but taken to stand for "First Lady of Malaysia").