# Mahathir Mohamad

* This article is part of a series aboutMahathir Mohamad
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Prime Minister of Malaysia
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North-South Expressway
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Mahathir bin Mohamad (Jawi: محاضر بن محمد; IPA:; born 10 July 1925) is a Malaysian politician, author, and physician who was the fourth and seventh Prime Minister of Malaysia from 1981 to 2003 and again from 2018 to 2020. He was the country's longest-serving prime minister, serving for a cumulative total of 24 years. Mahathir was granted the soubriquet "Father of Modernisation" ("Bapa Pemodenan") for his pivotal role in transforming the economy and infrastructure. At the age of 99, he is currently the oldest living former Malaysian prime minister.
Born and raised in Alor Setar, Kedah, Mahathir excelled at school and became a physician. He became active in the UMNO before entering the parliament of Malaysia in 1964 as the Member of Parliament for Kota Setar Selatan, serving until 1969 amid losing his seat, subsequently falling out with Prime Minister Tunku Abdul Rahman and being expelled from UMNO. In 1970, he released the book The Malay Dilemma. When Tunku resigned, Mahathir re-entered UMNO and parliament through Kubang Pasu constituency, and was promoted to Minister of Education from 1974 to 1978 and Minister of Trade and Industry from 1978 to 1981. He became deputy prime minister in 1976 and in other cabinet before being sworn in as prime minister in 1981.
During Mahathir's first tenure, Malaysia underwent modernization and economic growth, and his government initiated widespread industry privatisation and a series of bold infrastructure projects. Mahathir was a dominant political figure, winning five consecutive general elections and fending off several rivals for UMNO's leadership. He centralised power through undermining judicial independence and supporting a constitutional amendment to remove legal immunity for royalty. He continued pro-bumiputera policies, and oversaw Malaysia's relatively fast recovery from the 1997 Asian financial crisis. In 1987, he detained various activists and religious figures under Operation Lalang, and in 1998 had his deputy Anwar Ibrahim arrested. As prime minister, he was an advocate of Asian values and development models, and was particularly prominent across the Muslim world.
Mahathir resigned in 2003 after 22 years in office, but remained politically influential and was critical of his successors. He quit UMNO over the 1MDB corruption scandal in 2016, joining BERSATU and leading the Pakatan Harapan opposition coalition to victory in the 2018 general election. During a second tenure as prime minister, he pledged to investigate the 1MDB scandal, combat corruption, and cut spending on large infrastructure projects. He also secured the pardon and release of Anwar Ibrahim. Mahathir resigned in 2020 amidst a political crisis. Despite losing his parliamentary seat in the 2022 general election, he remained active in politics and shifted party affiliation several times. His political career has spanned more than 75 years, from joining protests opposing citizenship policies for non-Malays in the Malayan Union in the 1940s to forming the Gerakan Tanah Air coalition in 2022. Mahathir played a pivotal role in leading the opposition coalition Pakatan Harapan to victory in the 2018 general elections.
Mahathir's political views have shifted during his life, and are shaped by his Malay nationalism and Islamic religious beliefs.

## Early life and education

Mahathir was born at his parents' home in a poor neighbourhood at Lorong Kilang Ais, Alor Setar, in the capital of the Malay sultanate of Kedah under a British protectorate, on 10 July 1925. He was the first prime minister that was not born into the aristocracy or a prominent religious or political family.
Mahathir's mother, Wan Tempawan Wan Hanapi, was a Malay from Kedah. His father, Mohamad Iskandar, was from Penang of Malay and Indian descent. Mahathir's paternal grandfather had come from Kerala, British India but many claim that Mahathir's paternal grandfather had come from Satkania Upazila, Chittagong, British India (present part of Bangladesh).
Mohamad Iskandar was the principal of an English-medium secondary school, whose lower-middle-class status meant his daughters were unable to enrol in a secondary school. Wan Tempawan had only distant relations to members of Kedah's royalty. Both had been married previously. Mahathir was born with six half-siblings and two full-siblings. His childhood home, with a single shared bedroom and no electricity supply, was later converted to a tourist attraction and opened to the public. During his childhood, Mahathir enjoyed playing snakes and ladders and demonstrated multiple creative talents, including playing the trumpet, interior decorating, and engaging in crafts and carpentry work. He once shared that he was bullied in his youth, recalling how he sold balloons for a small profit but was forced by a stronger peer to use his earnings to buy food for him.
Mahathir began his education at Seberang Perak Malay Boys School, Alor Setar, Kedah in 1930. Mahathir was a hard-working student. Discipline imposed by his father motivated him to study, and he showed little interest in sports. Having become fluent in English well ahead of his primary school peers, including editing the English student newspaper and winning a series of language awards, he won a position in a selective English-medium secondary school Government English School in 1933. With schools closed during the Japanese occupation of Malaya in World War II, he started a small business at Pekan Rabu, selling coffee and snacks such as pisang goreng (banana fritters). Even after becoming Prime Minister, Mahathir continued to visit Pekan Rabu whenever he traveled to Alor Star.
After the war, Mahathir graduated from secondary school with the highest rank and enrolled to study medicine at the King Edward VII College of Medicine in Singapore. Mahathir studied medicine at what was then called University of Malaya, later renamed University of Singapore. When the university granted him an honorary degree in November 2018, he said "I will always value my stay in Singapore for nearly six years." During his college years, Mahathir developed a passion for driving, often traveling long distances, including from Singapore to his hometown in Alor Setar, in his convertible. In 1947, Mahathir, writing under the pen name 'Che Det' in The Sunday Times, published an article titled Malay Women Make Their Own Freedom, in which he discussed the struggle of Malay women in the post-war period and stated, "It is up to the men and especially the fathers, to realise that they can no longer confine their womenfolk to the kitchen."

## Medical career (1953–1959)

After graduating in 1953 from Universiti Malaya in Singapore, Mahathir began his housemanship at Penang General Hospital. In 1954, he was sent to Alor Setar General Hospital before being posted to government clinics in Langkawi, Jitra, and Perlis. During his time in Langkawi in 1955, Mahathir was the island’s first stationed doctor, witnessing its underdeveloped state—a memory that later influenced his efforts to transform it into a major tourist destination when he became Prime Minister. He then resigned to open his private practice, named "Maha Klinik" (Maha Clinic), while his wife worked as a government doctor for 25 years. Maha Klinik was the first privately owned clinic established by a Malay in Malaysia.
Mahathir acquired the reputation of being a caring doctor, willing to make house calls at any hour, trudging across rice fields in the dark to treat patients. If they could not afford his fee, they settled by installments or paid what they had. He was the town's first Malay physician and a successful one. He built a large house and employed a Chinese man to chauffeur him in his Pontiac Catalina (most chauffeurs at the time were Malay). Mahathir and Siti Hasmah were also involved in welfare and public health activities. He served as President of the Kedah Tuberculosis Association, visiting Indian workers on rubber plantations to treat the disease, while she volunteered in the Kedah Family Planning Association. With the money from his medical practice, Mahathir indulged in his entrepreneurial streak and invested in property development, tin mining, a franchised petrol station, and a shop to do quick printing–sometimes to rescue Malay businessmen in trouble. He helped found the Malay Chamber of Commerce and served as its director.

## Early political career (1959–1970)

After World War II ended and the Japanese withdrew, the British grouped the Malay states and the Straits Settlements into the Malayan Union, and granted citizenship to non-Malays. This caused major backlash from Malays and a wave of Malay nationalism swept across the country. Mahathir became politically activated by these changes, joining protests and activism against the new citizenship policies. Mahathir later argued for affirmative action for Malays at medical college. While at college, he contributed to The Straits Times under the pseudonym "C.H.E. Det" and a student journal, in which he fiercely promoted Malay rights, such as calling for the restoration of Malay as an official language. While practising as a physician in Alor Setar, Mahathir became active in UMNO. His earliest political involvement was in the Kampung Charok Kudong Umno branch, where he made his debut in politics. By the time of the first general election for the independent state of Malaya in 1959, he was the chairman of the party in Kedah.
Despite his prominence in UMNO, Mahathir was not a candidate in the 1959 election, ruling himself out following a disagreement with then Prime Minister Tunku Abdul Rahman. Their relationship had been strained since Mahathir had criticised Tunku's agreement to retain British and Commonwealth forces in Malaya after independence. Tunku opposed Mahathir's plans to introduce minimum educational qualifications for UMNO candidates. For Mahathir, this was a significant enough slight to delay his entry into national politics in protest. He contested in the following general election in 1964, and was elected as the federal parliamentarian for the Alor Setar-based seat of Kota Setar Selatan.
Elected to parliament in a volatile political period, Mahathir, as a backbencher, launched himself into the main conflict of the day: Singapore's future, with its large and economically powerful ethnic Chinese population, as a state of Malaysia. He vociferously attacked Singapore's dominant People's Action Party for being "pro-Chinese" and "anti-Malay" and called its leader, Lee Kuan Yew, "arrogant". Singapore was expelled from Malaysia in Mahathir's first full year in parliament. In 1965, Mahathir stated in Parliament that Article 153 of the Federal Constitution, which grants special rights to Malays, was a source of shame for the community and would eventually be abolished. Despite Mahathir's prominence, he lost his seat in the 1969 election, defeated by Yusof Rawa of the Pan-Malaysian Islamic Party (PAS). Mahathir attributed the loss of his seat to ethnic Chinese voters switching support from UMNO to PAS. Being a Malay-dominated seat, only the two major Malay parties fielded candidates, leaving Chinese voters to choose between the Malay-centric UMNO and the Islamist PAS.
Large government losses in the election were followed by the race riots of 13 May 1969. Hundreds of people were killed in clashes between Malays and Chinese. In 1968, Mahathir had expressed concern over escalating racial tensions in two newspaper articles, and feared preventative measures would be needed to avoid violence. Outside parliament, he openly criticised the government, also sending an open dissenting letter to Tunku for failing to uphold Malay interests and calling for his resignation. By the end of the year, Mahathir was fired from UMNO's Supreme Council and expelled from the party. Tunku had to be persuaded not to have him arrested.
Expelled from UMNO, Mahathir wrote his first book, The Malay Dilemma, in which he set out his vision for the Malay community. The book argued that a balance had to be achieved between government support for Malays, so that their economic interests would not be dominated by the Chinese, and exposing Malays to sufficient competition. Mahathir saw Malays as typically avoiding hard work and failing to "appreciate the real value of money and property", and hoped this balance would rectify this. Mahathir criticised Tunku's government in the book, which led to it being banned in Malaysia. The ban was only lifted in 1981 under Mahathir's premiership.

## Rise to prominence (1970–1981)

   I am happy to hear it. I hope to be able to serve UMNO in any way that is possible for me. I hope this will mean that I can play an active role in national politics.
In 1971, Mahathir announced his plan to rejoin UMNO, stating he would make a formal statement at an appropriate time. Prime Minister Abdul Razak Hussein encouraged Mahathir to return to UMNO in 1972, marking the beginning of his political resurgence. Recognizing his potential and sharp political acumen, Razak appointed Mahathir as a Senator for Kedah in 1973. Around the same time, Mahathir also became the chairman of Food Industries of Malaysia (FIMA) Sdn. Bhd. In January 1973, as chairman of the FIMA, Mahathir visited a government factory in Pekan Nanas. He faced peaceful protests from over 200 workers demanding better working conditions and wage improvements. After Mahathir spoke to the workers and promised to review their grievances, they dispersed peacefully.
Mahathir rose quickly in the Abdul Razak government, returning to UMNO's Supreme Council in 1973. He returned to the House of Representatives in the 1974 election, winning the Kedah-based seat of Kubang Pasu unopposed. He was appointed to Cabinet in September 1974 as the Minister for Education. During his tenure, Mahathir rolled out a new school curriculum for both primary and secondary schools, designed to provide holistic education and cultivate well-rounded individuals. Around this time, he also ceased his private medical practice.
In 1975, Mahathir ran for one of the three vice-presidencies of UMNO. The contest was regarded as a struggle for the party's leadership succession, as the health of Abdul Razak and his deputy, Hussein Onn, waned. Each of Abdul Razak's preferred candidates was elected: former Chief Minister of Melaka, Ghafar Baba; Tengku Razaleigh Hamzah, a wealthy businessman and member of Kelantan's royal family; and Mahathir. When Razak died the following year, Hussein, as his successor, had to choose between the three men, alongside the Minister of Home Affairs Ghazali Shafie, to be deputy prime minister.
Mahathir's rivals had significant political liabilities: Ghazali, having been defeated by others for the vice-presidency, lacked the support of UMNO members; Ghafar had no higher education and was not fluent in English; and Razaleigh was young, inexperienced, and unmarried. However, Mahathir and Hussein Onn were not close allies. After six weeks of indecision, on 5 March 1976, Mahathir was, much to his surprise, appointed as deputy prime minister. Several political figures praised his appointment, recognizing his proven ability and experience. The appointment meant that Mahathir was the anointed successor to the prime ministership. In October, Mahathir was appointed to lead a cabinet committee to review the Petroleum Development Act.
Mahathir is regarded as having been a successful Minister for Education and then Minister for Trade and Industry (1978–81). In the latter post, he implemented a "heavy industries policy", establishing a HICOM, a government-controlled corporation, to invest in the long-term development of manufacturing sectors such as an indigenous car industry. He spent much of his time in the ministry promoting Malaysia through overseas visits.
In September 1978, Mahathir launched the Central Unit of the Federal Industrial Development Authority, a streamlined "one-stop agency" aimed at simplifying the application process for licences, permits, and facilities. Later that month, he led a 31-member trade delegation on a 20-day tour to the United States, aiming to attract American investors by highlighting opportunities in Malaysia, including tax exemptions and other incentives. In June 1979, Mahathir led a 23-member delegation to Pyongyang to sign Malaysia's first trade agreement with North Korea, aimed at exploring opportunities to increase imports of North Korean products. During the visit, he also met with North Korea's supreme leader, Kim Il Sung.
In 1981, due to declining health, Hussein Onn decided to step down and passed the leadership to Mahathir, who succeeded him unopposed and with his endorsement.

## First term as prime minister (1981–2003)
### Early years (1981–1987)

Mahathir was sworn in as prime minister on 16 July 1981, at the age of 56. He was the first commoner to hold that office. In an interview, Mahathir remarked that major power rivalry in Southeast Asia is dangerous, but "on the other hand, a lack of U.S. interest is also problematic. It creates the impression that Russia can act as it pleases." Two days later, he announced a new cabinet with minor changes, including the transfer of Home Minister Ghazali Shafie to Foreign Affairs. Mahathir appointed Musa Hitam as deputy prime minister. Several days later, on 23 July, Mahathir held his first Cabinet meeting, during which he announced that ministers would have one year to demonstrate progress in achieving national objectives and implementing development programs.
One of his first acts was to release 21 detainees held under the Internal Security Act. This included journalist Abdul Samad Ismail and Abdullah Ahmad, who was a former deputy minister in the former government but was suspected of being an underground communist. By August 1982, the Mahathir administration had granted pardons to approximately 250 people. Mahathir prioritized a clean and efficient government, initiating the Bersih, Cekap & Amanah (Clean, Efficient, and Trustworthy) campaign to combat corruption, enhance efficiency, and build trust in public service. He also introduced a clock-in system in government departments to ensure punctuality while emphasizing that efficiency should remain the priority. Under calls from opposition leader Lim Kit Siang and others, Musa Hitam, serving concurrently as Home Minister, lifted the ban on Mahathir's book The Malay Dilemma.
Shortly after taking office, Mahathir, in collaboration with Singaporean Prime Minister Lee Kuan Yew, initiated efforts to standardize Malaysia's time zones. Mahathir introduced and passed the Malaysian Standard Time Act, which came into effect on 31 December 1981, setting the clocks forward by 30 minutes to GMT+8. This legislation, championed by Mahathir, not only unified the time zones of East and Peninsular Malaysia but also aligned the country with regional economic hubs such as Hong Kong, Manila, and Perth.
Mahathir secured a decisive victory in the 1982 general election, strengthening UMNO's leadership with the government's best-ever result since independence in 1957. His development-oriented approach during his first nine months in office resonated with the people, reinforcing their support for his vision of a "clean, efficient and trustworthy" government. Afterwards, he reinforced this vision by implementing measures such as requiring ministers to declare their assets, limiting land applications to one piece per leader, discouraging conflicts of interest with public-listed companies, and advising against ostentation and visits to nightclubs. Mahathir further emphasized this vision by launching the "Leadership-by-Example" campaign in 1983 at Stadium Tun Razak, Kuala Lumpur, encouraging leaders and civil servants to uphold integrity, professionalism, and ethical behavior in order to inspire public trust and ensure that national objectives were achieved through exemplary conduct.
In 1983, Mahathir undertook one of the first challenges he had with Malaysia's royalty. The position of Yang di-Pertuan Agong, the Malaysian head of state, was due to rotate into either the elderly Idris Shah II of Perak or the controversial Iskandar of Johor, who had only a few years earlier been convicted of manslaughter. Mahathir had grave reservations about the two Sultans, who were both activist rulers of their own states.
Mahathir tried to pre-emptively limit the power that the new Agong could wield over his government. He introduced to parliament amendments to the Constitution to deem the Agong to assent to any bill that had not been assented within 15 days of passage by Parliament. The proposal removed the power to declare a state of emergency from the Agong and placed it with the prime minister. The Agong at the time, Ahmad Shah of Pahang, agreed with the proposals in principle, but baulked when he realised that the proposal would deem Sultans to assent to laws passed by state assemblies. Supported by the Sultans, the Agong refused to assent to the constitutional amendments, which had passed both houses of Parliament with comfortable majorities.
When the public became aware of the impasse, and the Sultans refused to compromise with the government, Mahathir took to the streets to demonstrate public support for his position in mass rallies. The press took the side of the government. A large minority of Malays, including conservative UMNO politicians, and an even larger proportion of the Chinese community supported the Sultans. After five months, the crisis was resolved, as Mahathir and the Sultans agreed to a compromise. The Agong retained the power to declare a state of emergency. However, if he refused to assent to a bill, the bill would return to Parliament, which could then override Agong's veto. In 1984, Mahathir was re-elected unopposed as UMNO president for a second term.
On the economic front, Mahathir inherited the New Economic Policy from his predecessors, which was designed to improve the economic position of the bumiputera—Malaysia's Malays and Indigenous peoples—via targets and affirmative action in areas such as corporate ownership and university admission. Like many of his economic liberal contemporaries such as British prime minister Margaret Thatcher, Mahathir actively pursued privatisation of government enterprises from the early 1980s. Mahathir believed this would provide economic opportunities for bumiputera and their businesses. His government privatised airlines, utilities and telecommunication firms, accelerating to a rate of about 50 privatisations a year by the mid-1990s.
Privatisation generally improved the working conditions of Malaysians in privatised industries and raised significant revenue for the government. One of the most notable infrastructure projects at the time was the construction of the North–South Expressway, a motorway running from the Thai border to Singapore. Mahathir oversaw the establishment of the car manufacturer Proton as a joint venture between the Malaysian government and Mitsubishi. By the end of the 1980s, with the support of protective tariffs, Proton became a profitable enterprise and the largest carmaker in Southeast Asia.
Under Mahathir's leadership, Malaysia implemented strict drug laws, considering drug-related offences a significant national security concern. In 1983, Mahathir launched an Anti-Drug Campaign, enacted the Drug Dependants (Treatment and Rehabilitation) Act, and established Pusat Serenti as a rehabilitation center for drug dependents. The Cabinet also approved the formation of the Anti-Drugs Committee (JKAD) and the Anti-Drugs Task Force (PPAD) under the National Security Council to oversee anti-drug efforts. As the campaign was officially launched on 19 February, this date was later designated as National Anti-Drugs Day in Malaysia.
These efforts led to a decrease in drug-related cases, from 14,624 in 1983 to 7,596 in 1987. The number of foreign nationals apprehended for drug trafficking also declined, attributed to strict law enforcement and preventive measures. Between 1983 and 1992, more than 120 individuals were executed for drug-related crimes, with an average of 15 to 16 executions per year recorded between 1980 and 1996, including at least 39 executions in 1992. In 1986, Australians Kevin Barlow and Brian Chambers became the first Westerners executed under Malaysia’s mandatory death penalty for drug trafficking, despite last-minute clemency appeals from Australia and the United Kingdom. Mahathir defended the decision, emphasizing that Malaysia's strict anti-drug laws applied equally to all, regardless of nationality or background.
In Mahathir's early years as prime minister, Malaysia experienced a resurgence of Islam and conservatism among Malays. PAS, which had joined UMNO in government in the 1970s, responded to the resurgence by taking an increasingly strident Islamist stand under the leadership of Yusof Rawa. Mahathir tried to appeal to religious voters by establishing Islamic institutions such as the International Islamic University of Malaysia which could promote Islamic education under government oversight.
He managed to draw Anwar Ibrahim, the leader of the Malaysian Islamic Youth Movement (ABIM), into the ranks of UMNO. In some cases, Mahathir's government employed repression against more extreme exponents of Islamism. Ibrahim Libya, a popular Islamist leader, was killed in a police shoot-out in 1985. Al-Arqam, a religious sect, was banned, and its leader, Ashaari Mohammad, was arrested under the Internal Security Act. Mahathir comprehensively defeated PAS at the polls in 1986, winning 83 seats of the 84 seats it contested, leaving PAS with just one Member of Parliament (MP). The election saw the BN achieve a landslide victory, securing 148 out of 177 parliamentary seats and control of 11 state assemblies, further consolidating Mahathir's leadership.
In 1987, Mahathir established the Langkawi Development Board and declared the island a duty-free zone. This was followed by the construction of key infrastructure, including the Kuah jetty and Langkawi International Airport in 1988, contributing to the island’s transformation into a major tourist destination.

### Power struggles (1987–1990)

In 1987, Tengku Razaleigh Hamzah, who had been demoted from Finance Minister to Trade and Industry Minister, challenged Mahathir for UMNO's presidency, and effectively the prime ministership. Razaleigh's bid was supported by Musa, who had resigned as deputy prime minister the previous year. While once close allies with Mahathir, both fell out with Musa claiming that Mahathir no longer trusted him. Razaleigh and Musa ran for the UMNO presidency and deputy presidency on a joint ticket against Mahathir and his new choice for deputy Abdul Ghafar Baba.
Mahathir's Team A enjoyed the press's support, most party heavyweights, and even Iskandar, now the Agong. However, other prominent figures such as Abdullah Ahmad Badawi supported Team B. In the election, held on 24 April 1987, Team A prevailed. Mahathir was re-elected by a narrow margin, receiving the votes of 761 party delegates to Razaleigh's 718. Ghafar defeated Musa by a slightly larger margin. Mahathir responded by purging seven Team B supporters from his ministry. At the same time, Team B refused to accept defeat and initiated litigation. In an unexpected decision in February 1988, the High Courts ruled that UMNO was an illegal organisation as some of its branches had not been lawfully registered.
Each faction raced to register a new party under the UMNO name. Mahathir's side successfully registered the name "UMNO Baru" ("new UMNO"), while Team B's application to register "UMNO Malaysia" was rejected. Nevertheless, UMNO Malaysia registered the party as Semangat 46 instead under Tengku Razaleigh Hamzah's leadership. The Lord President of the Supreme Court, Salleh Abas, sent a letter of protest to the Agong, which criticised the prime minister for his comments on the judiciary and called for them to be stopped. Mahathir then suspended Salleh for "gross misbehaviour and conduct", ostensibly because the letter was a breach of protocol. A tribunal set up by Mahathir found Salleh guilty and recommended to the Agong that Salleh be dismissed. Five other judges of the court supported Salleh and were suspended by Mahathir. A newly constituted court dismissed Team B's appeal, allowing Mahathir's faction to continue to use the name UMNO.
During the political and judicial crises, Mahathir employed the Internal Security Act, stating it was necessary to address unrest and prevent a recurrence of the 1969 race riots. Controversy arose from a decision by then-Education Minister Anwar Ibrahim to appoint administrators who did not speak Mandarin to Chinese schools, prompting protests from Chinese Malaysians and political parties. Tensions escalated following a protest by UMNO’s Youth wing, leading Mahathir to launch Operation Lalang, during which 119 individuals, including opposition figures, were detained, and three newspapers were temporarily suspended.
Mahathir suffered a heart attack in early 1989, which later inspired the establishment of the National Heart Institute (IJN) to improve cardiac care in Malaysia. Mahathir was praised for opting to undergo the surgery in his own country. He recovered to lead Barisan Nasional to victory in the 1990 election. Mahathir interpreted the election results as a reflection of the people's desire for a strong government. Semangat 46 failed to make any headway outside Razaleigh's home state of Kelantan. Following his electoral victory, Mahathir established the Domestic Trade and Consumer Affairs Ministry to better address issues related to trade and consumer protection.
During the same period, Mahathir led the government in negotiations with Chin Peng and the Communist Party of Malaya (CPM). These efforts culminated in a tripartite peace agreement in Hat Yai between Malaysia, Thailand, and the CPM. According to insiders, the Hat Yai peace accords were initiated by Mahathir. The negotiations, overseen by Special Branch chief Abdul Rahim Mohd Noor, were later documented in Colin Abraham's The Finest Hours, which included a foreword written by Mahathir himself.

### Economic development to financial crisis (1990–1998)

The expiry of the Malaysian New Economic Policy (NEP) in 1990 allowed Mahathir to outline his economic vision for Malaysia. In 1991, he announced Vision 2020, under which Malaysia would aim to become a fully developed country within 30 years. The target would require average economic growth of approximately seven per cent of gross domestic product per annum. One of Vision 2020's features would be to gradually break down ethnic barriers. Vision 2020 was accompanied by the NEP's replacement, the National Development Policy (NDP), under which some government programs designed to benefit the bumiputera exclusively were opened up to other ethnicities. Mahathir highlighted that the policy would balance growth with addressing economic imbalances across regions and society.
The NDP achieved one of its main aims — poverty reduction. By 1995, less than nine per cent of Malaysians lived in poverty, and income inequality had narrowed. Mahathir also introduced the Bangsa Malaysia policy, which aimed to facilitate greater representation of non-Malay ethnicities in Malaysia. Additionally, he popularised slogans like Malaysia Boleh (Malaysia Can) in his domestic politics.
Mahathir's government cut corporate taxes and liberalised financial regulations to attract foreign investment. The economy grew by over nine per cent per annum until 1998, prompting other developing countries to emulate Mahathir's policies. Mahathir's bold economic initiatives propelled Malaysia to become the 17th largest trading nation globally. The government rode the economic wave and won the 1995 election with an increased majority.
Mahathir initiated a series of major infrastructure projects in the 1990s. One of the largest was the Multimedia Super Corridor, a new information technology district south of Kuala Lumpur modelled after Silicon Valley. Microsoft chairman Bill Gates, who was a member of an advisory panel assisting Mahathir in shaping the country’s information technology policies, praised the project as "really awesome" during a visit to Malaysia. Other significant initiatives included the development of Putrajaya as the home of Malaysia's public service. He also played a key role in bringing prominent international sporting events to Malaysia, such as the Formula One Grand Prix at Sepang and the Le Tour de Langkawi cycling competition, further enhancing the country's international reputation. Mahathir founded the Space Science Center (ANGKASA), leading to the establishment of the National Planetarium, which was launched in 1994. He also envisioned Malaysia having its own satellite, a vision realized with the launch of MEASAT-1 in 1995 and MEASAT-2 in October 1996.
Another significant development was the Bakun Dam in Sarawak. The ambitious hydro-electric project was intended to carry electricity across the South China Sea to satisfy electricity demand in peninsular Malaysia. Work on the dam was eventually suspended due to the Asian financial crisis. In 1995, Mahathir visited the Massachusetts Institute of Technology (MIT) and facilitated the establishment of a university modeled after MIT, leading to the founding of the Malaysia University of Science and Technology (MUST). The 1997 Southeast Asian haze, the worst haze event in history caused by Indonesian forest fires, was a major air pollution crisis for the country; Mahathir launched a cross-border firefighting operation in response.
In 1997, the Asian financial crisis threatened to devastate Malaysia's economy. The value of the ringgit plummeted due to currency speculation, foreign investment fled, and the main stock exchange index fell by over 75 per cent. At the urging of the International Monetary Fund (IMF), the government cut government spending. It raised interest rates, which only served to exacerbate the economic situation. In 1998, Mahathir defied the IMF's recommendations and implemented bold measures to stabilize the economy. These included pegging the ringgit at RM3.80 to the US dollar, banning offshore trading of the ringgit to curb speculation, and introducing capital controls. Mahathir also launched domestic policies, such as establishing the National Higher Education Fund Corporation (PTPTN) to provide education loans during the crisis. He argued that relying on a floating exchange rate would exacerbate financial speculation and increase the burden of repaying foreign-denominated loans. Concurrently, Mahathir authorized the repatriation of Malaysian assets from abroad.
Malaysia recovered from the crisis faster than its Southeast Asian neighbours, aided by an unorthodox capital control policy. The IMF's 1999 Article IV consultation report acknowledged that Malaysia's capital controls and exchange rate peg, initially met with skepticism, had produced more positive results than expected. The report also recognized that Mahathir's policies had helped stabilize the economy, allowing Malaysia to recover faster than many had anticipated. By 1999, the economy had rebounded with a growth of 5.4 per cent, followed by an 8.5 per cent growth in 2000. Mahathir later recalled that his decision to peg the ringgit to the US dollar in 1998 felt like "putting his head on the chopping block".
In the 1990s, Mahathir found himself at odds with Malaysian royalty over conflicting economic interests. In response to conflicts between Malaysian royals and prospective business leaders, Mahathir's government passed a resolution on royal activities. In the 1992 Gomez Incident, Sultan Iskandar's son, a representative field hockey player, was suspended from competition for five years for assaulting an opponent. Iskandar retaliated by pulling all Johor hockey teams out of national competitions. When a local coach criticised his decision, Iskandar ordered him to his palace and beat him. The federal parliament unanimously censured Iskandar, and Mahathir took the opportunity to remove the constitutional immunity of the sultans from civil and criminal suits. The press backed Mahathir and, in an unprecedented development, started airing allegations of misconduct by members of Malaysia's royal families.
As the press revealed examples of the rulers' extravagant wealth, Mahathir resolved to cut financial support to royal households. With the press and the government pitted against them, the sultans capitulated to the government's proposals. Their powers to deny assent to bills were limited by further constitutional amendments passed in 1994. In 1997, Mahathir officially named the Malaysian flag 'Jalur Gemilang' during the 40th Independence Day celebration.

### Final years and succession (1998–2003)

According to biographer Ian Stewart, by the mid-1990s Anwar's leadership ambition was the most serious threat to Mahathir's power. Anwar began to distance himself from Mahathir, overtly promoting his superior religious credentials and suggesting loosening the restrictions on civil liberties. However, Mahathir continued to back Anwar as his successor until the collapse of their relationship during the Asian financial crisis, with Mahathir abandoning the tight monetary and fiscal policies urged by the IMF. Anwar refused to bail out Malaysian International Shipping Corp, in which Mahathir's son Mirzan had interests.
At the UMNO General Assembly in 1998, a leading Anwar supporter, Ahmad Zahid Hamidi, criticised the government for not doing enough to combat corruption and cronyism. As Mahathir took the reins of Malaysia's economic policy over the coming months, Anwar was increasingly sidelined. On 2 September, he was dismissed as deputy prime minister and finance minister and promptly expelled from UMNO. No immediate reasons were given for the dismissal. However, the media speculated that it related to lurid allegations of sexual misconduct circulated in a "poison pen letter" at the general assembly. As more allegations surfaced, large public rallies were held in support of Anwar. On 20 September, he was arrested and placed in detention under the Internal Security Act.
Anwar stood trial on four charges of corruption, arising from allegations that Anwar abused his power by ordering police to intimidate persons who had alleged Anwar had sodomised them. He was found guilty in April 1999 and sentenced to six years in prison. In another trial shortly after, Anwar was sentenced to another nine years in prison on a conviction for sodomy. The sodomy conviction was overturned on appeal after Mahathir left office.
Anwar's conviction drew criticism from the international community. US Secretary of State Madeleine Albright defended Anwar as a "highly respectable leader" who was "entitled to due process and a fair trial" and met with Anwar's wife, Wan Azizah Wan Ismail. At the APEC summit in 1999, Canadian Prime Minister Jean Chrétien refused to meet Mahathir, while his foreign minister also met with Wan Azizah. Wan Azizah had formed a liberal opposition party, the National Justice Party (Keadilan) to contest in the 1999 election. UMNO lost 18 seats and two state governments as large numbers of Malays voted for PAS or Keadilan in protest of Anwar's treatment. By July 2001, Mahathir had reached his 20th year in power but discouraged grand celebrations.
In September 2001, debate began after Mahathir announced that Malaysia was already an Islamic state. Around the same time, Mahathir established the Women's Affairs Ministry and proposed an amendment to Article 8(2) of the Federal Constitution to include "sex" as a prohibited ground for discrimination, ensuring women’s equal rights. He also launched Puteri Umno, urging party members to support and nurture the new women's wing.
In May 2002, Mahathir officially opened the PETRONAS Petroleum Industry Complex (PPIC) in Kerteh, a world-class integrated petroleum hub developed by PETRONAS that attracted significant foreign investment. During the same time, he also approved Malaysian Chinese Association (MCA) President Ling Liong Sik’s proposal to establish Universiti Tunku Abdul Rahman (UTAR). During his tenure, Mahathir proposed sending a Malaysian into space, and on August 7, 2003, he officially announced the astronaut programme. This initiative came to fruition in 2007, when Sheikh Muszaphar Shukor became the first Malaysian astronaut to travel to the International Space Station aboard a Soyuz spacecraft under an arrangement with Russia. Sheikh Muszaphar later regarded Mahathir as the 'father of Malaysia's space programme.'
At UMNO's general assembly in 2002, he announced that he would resign as prime minister, only for supporters to rush to the stage and convince him tearfully to remain. He subsequently fixed his retirement for October 2003, giving him time to ensure an orderly and uncontroversial transition to his anointed successor, Abdullah Badawi. Mahathir simultaneously pledged that he would not take on an elder statesman role after retirement. During his final year in office, Mahathir introduced the teaching of Mathematics and Science in English (PPSMI) in 2003, believing that it is crucial for Malaysians to remain competitive in a fast-changing world. On 29 October 2003, the cabinet paid tribute to Mahathir for his invaluable service to the nation as Prime Minister for the last 22 years. He also received a record-breaking outpouring of public gratitude, marked by a 5.5 km-long banner displaying messages from over 50,000 Malaysians. The following day, Mahathir presented a review of Malaysia's five-year economic plan at Parliament House. Having spent over 22 years in office, Mahathir was the world's longest-serving elected leader when he retired on 31 October 2003.
For his contributions to the development and progress of Malaysia, Mahathir was honored by his successor, Abdullah Badawi, with the title Bapa Pemodenan Malaysia (Father of Malaysia's Modernisation) after stepping down from office. The following year, Barisan Nasional leaders and members paid tribute to Mahathir during a dinner in Kuala Lumpur, acknowledging his remarkable contributions to the coalition and the nation.

### Foreign relations

During Mahathir's term, Mahathir maintained a collaborative relationship with the West, despite him being an outspoken critic and prioritised development models and collaboration from elsewhere in Asia. He chose neighboring Indonesia for his first official overseas visit. Early during his tenure, a small disagreement with the United Kingdom over university tuition fees led to a boycott of all British goods led by Mahathir, in what became known as the "Buy British Last" campaign. Mahathir successfully negotiated with Indonesian President Suharto to bring the 27-year Ligitan and Sipadan dispute with Indonesia to the International Court of Justice for resolution.
In a shift from his predecessors, Mahathir frequently condemned Israel and ensured Malaysian support for the Palestine Liberation Organization, although toned down his criticisms after the Oslo Accords were agreed. He has been internationally acclaimed as the voice of the developing world. As Prime Minister, Mahathir undertook numerous international visits to enhance diplomatic relations, promote trade, and gather insights on foreign nations. In 1987, he was elected as the President of the International Conference on Drug Abuse and Illicit Trafficking.
Mahathir was prominent at the 1992 Earth Summit, arguing against an international forest conservation treaty over what he saw as the undue impact on the development of poorer Global South countries. He had previously threatened to pull Malaysia out of the summit if environmentalists intended to criticise logging in the country. In 2003, Mahathir spoke to the Non-Aligned Movement in Kuala Lumpur, where he blamed Western nations and Israel for a global rise in terrorism. During his final 100 days in office, Mahathir remained focused on offering potent advice to Third World countries on nurturing healthy economies, among other issues.

#### Sovereignty

During his tenure as prime minister, Mahathir asserted Malaysia’s sovereignty over several features in the Spratly Islands, claiming Swallow Reef in 1983, Ardasier Reef and Mariveles Reef in 1986, and Investigator Shoal and Erica Reef in 1999. His administration cited Malaysia’s continental shelf limits and the 1982 UNCLOS as the basis for these claims, while also responding to Vietnam’s territorial activities in the region. To strengthen Malaysia’s position, Mahathir oversaw the transformation of Swallow Reef into an artificial island with military fortifications, establishing it as a permanent naval outpost. Despite this militarisation, he maintained diplomatic engagement with Beijing, balancing relations with ASEAN claimants and employing a hedging strategy involving China and the United States.
Mahathir's foreign policy towards China on the Spratlys was notably pragmatic. While Malaysia pursued its territorial claims, he emphasised dialogue over confrontation. In 1993, he stated that Malaysia had "no problem with China" regarding the Spratlys, and in 1994, he welcomed China’s proposal for joint exploration, opposing further internationalisation of the dispute.

#### Japan

In the early 1960s, Mahathir visited Japan and witnessed its remarkable recovery from the devastation of Hiroshima and Nagasaki, symbolized by the 1964 Tokyo Olympics. Mahathir announced a "Look East" policy in December 1981. Under "Look East", Mahathir particularly prioritised relations with Japan, hoping this would bolster Malaysia's economy and that Japanese work ethic, values and moral norms would have a positive influence on Malaysians. He made over 100 visits to Japan. Consistent with the "Look East" strategy adopted under his leadership, there was a major push for heavy industries by Malaysia in the early 1980s.

#### China and Taiwan

Mahathir also strengthened political and economic cooperation with China, whilst maintaining diplomatic ambivalence on security issues to avoid escalating territorial disputes in the South China Sea. He openly criticised China's involvement in Malaysia's communist insurgency, but downplayed any military threat from China after the Cold War ended. In 1985, Mahathir visited China for the first time as Prime Minister, where he met Chinese leader Deng Xiaoping, establishing a new level of trust that laid the foundation for Malaysia-China relations and set the stage for decades of economic and diplomatic growth. Later, he visited China again in 1993, 1994, 1996, 1999, and twice in 2001.
In the early 1990s, Mahathir played a key role in engaging China with ASEAN despite South China Sea disputes, particularly in the post-Tiananmen and post-Cold War contexts, paving the way for then Chinese Foreign Minister Qian Qichen to attend the ASEAN meeting’s opening ceremony in July 1991 as a guest of the Malaysian government, and eventually leading to China’s upgrade to ASEAN’s dialogue partner in 1996. Amidst the Asian financial crisis, Mahathir also led several large delegations to China and Russia to seek regional economic cooperation.
Besides that, Mahathir also had significant interactions with Taiwan, especially during the 1980s and 1990s, when economic ties between the two sides were at their strongest despite the lack of formal diplomatic relations. During this period, Taiwan was a major investor in Malaysia, ranking among its top five sources of foreign investment, even reaching the top spot in 1990 and 1994. Mahathir himself visited Taiwan in 1984, 1988, and 1997, with two of these visits involving transit diplomacy at Taoyuan Airport. In 1988, he led a delegation of three cabinet ministers on a discreet visit to Taiwan, which drew criticism from Beijing. However, Mahathir defended the trip by emphasizing that Malaysia’s engagement with Taiwan was based solely on economic considerations rather than political recognition. His government also facilitated closer ties by allowing Taiwan’s trade office in Malaysia to be upgraded and by engaging in high-level exchanges, such as meetings with Taiwanese leaders like Premier Lien Chan in 1993.

#### United States

   Democracy confers a stamp of legitimacy that reforms must have in order to be effective. And so, among nations suffering economic crises, we continue to hear calls for democracy, calls for reform, in many languages – People Power, doi moi, reformasi. We hear them today – right here, right now – among the brave people of Malaysia.
The United States was the biggest foreign investment source and one of Malaysia's closest allies during Mahathir's rule. A 2003 house hearing by the Subcommittee on East Asia and the Pacific of the U.S. House International Relations Committee (now called the House Committee on Foreign Affairs) summarises the relationship between the United States and Malaysia as follows: "Despite sometimes blunt and intemperate public remarks by Prime Minister Mahathir, U.S.-Malaysian cooperation has a solid record in areas as diverse as education, trade, military relations, and counter-terrorism." Mahathir was publicly critical of the foreign policy of the United States, particularly during George W. Bush's presidency. He has also condemned the US-led war on Iraq and Afghanistan.
In 1984, during his first visit to the United States, Mahathir received a warm welcome. He met President Ronald Reagan in the Oval Office, followed by discussions, lunch, and a press conference. He also made a private visit to Tulsa, Oklahoma. In the years that followed, Mahathir held informal meetings with US presidents George H. W. Bush, Bill Clinton, and George W. Bush at various locations to discuss issues related to palm oil and the United States' attitude towards Muslim countries. In January 1997, Mahathir visited the United States to promote Malaysia's Multimedia Super Corridor. In May 1986, Nancy Reagan became the first First Lady of the United States to visit Malaysia.
In 1998, US vice-president Al Gore gave a speech expressing sympathy for the Reformasi movement at the Asia-Pacific Economic Cooperation (APEC) conference hosted by Malaysia, infuriating Mahathir and other ministers. Analysts interpreted Gore's comments as criticism of Anwar's imprisonment. Anwar, who was the preeminent Malaysian spokesperson for the economic policies and reforms preferred by the IMF, later faced criticism after becoming Prime Minister in 2022 for implementing many conservative and regressive policies.

#### United Kingdom

In September 1981, shortly after Mahathir assumed office as Prime Minister, the country carried out the "Dawn Raid", a calculated operation orchestrated by Permodalan Nasional Berhad (PNB) to regain majority ownership of Guthrie, one of the largest British-owned plantation companies at the time. This move symbolized a broader effort under Mahathir's leadership to reduce foreign dominance over Malaysia's economy and reclaim control of national assets.
A month after the Dawn Raid, Mahathir introduced the "Buy British Last" (BBL) policy, which lasted from October 1981 to March 1983. The reason for this policy was rooted in several grievances with Britain. Britain’s decision to abolish tuition fee subsidies for Commonwealth students placed a heavy financial burden on Malaysia, which had to cover the increased costs for approximately 17,000 Malaysian students studying in the UK. Additionally, British media criticism of Malaysia’s internal policies further strained relations. The BBL policy, which directed government ministries and agencies to deprioritize British goods and services, significantly affected Britain, causing estimated losses of between £15.5 million and £50 million in the early months. This eventually led to negotiations, culminating in Mahathir and British Prime Minister Margaret Thatcher meeting in 1983 to resolve the tensions and end the policy. Mahathir later recalled persuading Thatcher that raising tuition fees was a mistake, leading Thatcher to introduce scholarships for Malaysian students.
Mahathir reclaimed Carcosa Hill, which had been given to the British by Tunku Abdul Rahman after independence as a sign of good faith, and was home to the British High Commissioner's residence. Mahathir developed a close friendship with Thatcher, leading to strengthened bilateral relations between the two countries during their tenure. Thatcher once praised Mahathir as a truly remarkable national leader and described Malaysia as a textbook example of how to build a prosperous nation. After Thatcher's 1985 visit to Malaysia, bilateral ties improved significantly. Key progress included enhanced trade, particularly in palm oil exports and British technology imports, as well as increased educational cooperation through scholarships for Malaysian students in the UK. Malaysia-UK relations were back on track, leading to Malaysia being chosen to host two major world events — the Commonwealth Heads of Government Meeting in Langkawi in 1989 and the Commonwealth Games in 1998. Mahathir spoke of his good working relationship with Thatcher, saying, "Malaysians should remember that she visited Kuala Lumpur three times — no other British PM has done this before or since." During John Major's visit to Malaysia in September 1993, five memorandums of understanding, involving several billion ringgit, were signed between Malaysian and British companies.

#### Australia

Mahathir's relationship with Australia and its political leaders was particularly rocky. Although Malaysia-Australia relations were collaborative, Mahathir was publicly critical of the country's colonial history and close relations with the United States. Relations reached a low point in 1993 when Australian prime minister Paul Keating described Mahathir as "recalcitrant" for not attending the APEC summit. The Malaysian government threatened trade sanctions as a response, while the Australian government claimed that Keating's description was a linguistic gaffe, and that what he had in mind was "intransigent".
In November 2002, Mahathir opposed Australia’s bid for a seat at the ASEAN summit, emphasizing the need for a thorough study before expanding membership to non-Asian nations. His firm stance, along with Indonesia’s reservations, led ASEAN leaders to defer the decision. This marked the third time he had vetoed Australia’s efforts to expand its role in the region, having previously played a key role in excluding Australia from the ASEAN Free Trade Area and the regular ASEAN-EU talks.

#### Singapore

Not long after assuming office, Mahathir visited Singapore in December 1981 as part of a delegation to meet with Prime Minister Lee Kuan Yew. Among various bilateral discussions, the two leaders agreed to implement a coordinated time adjustment. This led to the passing of the Malaysian Standard Time Act (1981), initiated by Mahathir. Later, Lee paid a return visit to Malaysia in August 1982. In the early days of his tenure, Mahathir improved relations with Singapore, not only strengthening bilateral ties but also gaining the support of the Malaysian Chinese community.
During his time, Singapore's requests to Malaysia to move its railway immigration checkpoint away from Tanjong Pagar and disputes over water payments were major disagreements between the two countries. The Points of Agreement of 1990 set out the terms for developing land for a Rapid Transit System, although disputes still continued throughout the following decade. Mahathir and Singaporean counterparts also oversaw a dispute over the ownership of Pedra Branca, several islets between the two countries, with an agreed exchange of documents to settle ownership of the islets in 1981 being delayed until at least 1992. The 1997 Asian financial crisis further escalated tensions, with Singapore offering high interest rates for ringgit deposits leading to cash flow issues in Malaysia. However, Lee remarked that he had made more progress resolving bilateral issues with Mahathir between 1981 and 1990 than during the previous 12 years under Mahathir's two predecessors.
On Lee Kuan Yew's death in March 2015, Mahathir wrote an entry on his blog, expressing grief at the news. Although he often disagreed with Lee, Mahathir wrote that he bore him no enmity for the differences of opinion on the direction of Singapore's development, and that ASEAN had lost the strong leadership of both Lee and Suharto of Indonesia, who had died in 2008. Some analysts observed that with Lee's death, Mahathir was the last of the "Old Guard" of Southeast Asia. On the anniversary of Lee's death, Mahathir told the media that Singaporeans must recognise Lee's contributions towards industrialising Singapore. He said that he does not view Lee "as an enemy and all that, but as a Singapore leader who had his own stand that was not the same with the stand of Malaysia".

#### Myanmar

In 1997, Mahathir strongly supported Myanmar's inclusion into ASEAN, stating that "we are going to work very hard to get Burma into ASEAN" despite international criticism and American sanctions against the military regime. Mahathir presided as ASEAN chair over Myanmar’s admission, playing a key role in ensuring its membership.
However, by 2003, Mahathir's stance toward Myanmar had shifted significantly, particularly following the prolonged detention of pro-democracy leader Aung San Suu Kyi. In an interview, he openly stated that if Myanmar's military government continued to refuse Suu Kyi's release, ASEAN might have to consider expelling the country. This marked the first time an ASEAN leader had raised the possibility of Myanmar's expulsion, drawing considerable international attention.

#### South Africa

Mahathir and Nelson Mandela shared a close relationship, forged during South Africa's struggle against apartheid. Malaysia played a crucial role in supporting South Africa's transition to democracy, particularly in its preparations for the historic 1994 election that saw Mandela elected as the country's first black president. Mahathir was the first international leader to visit Mandela following his release in 1990. During a meeting held at a Zambian government guest house, Mahathir presented Mandela with a silver keris, a symbol of Malaysia’s constitutional monarchy system of government.
Mandela visited Malaysia thrice during Mahathir's tenure as prime minister, first in 1990, second in 1993 and again in 1997. During his third visit, Mahathir hosted a private dinner for the South African president in Langkawi. The close relationship between the two leaders also benefited Malaysian businesses, granting them a "most favoured" status for securing contracts and business opportunities in South Africa. During Mandela's visit, Mahathir further strengthened this partnership with him by jointly launching the Malaysia-South Africa Business Council (MSABC) in Kuala Lumpur. The strong bilateral relations also led to significant progress in political and economic cooperation, with key agreements signed in trade, air services, and shipping. Additionally, Malaysia supported South Africa's development through scholarships for South African students and collaboration in science and technology.
Mahathir visited South Africa three times during his tenure as Prime Minister: a private visit in April 1994 to congratulate Mandela, an official visit in August 1995, and another in May 1997 when he received the Order of the Cape of Good Hope.
On 27 August 2013, the Mahathir Global Peace Foundation honored Mandela with the Mahathir Award for Global Peace. In the same year as Mandela’s passing, Mahathir expressed his deep sorrow, calling Mandela a great leader who dedicated his life to social justice. He admired Mandela's magnanimity, noting that despite years of imprisonment, he focused on reconciliation and sharing opportunities between blacks and whites. Mahathir also paid his last respects to Mandela in Pretoria, where he attended as a personal representative of Malaysia.

#### Bosnia and Herzegovina

Mahathir was a prominent international advocate for Bosniaks in Bosnia and Herzegovina during his tenure. His government permitted Bosnians to come to Malaysia without a visa during the Bosnian War. He was influential in the establishment of an OIC summit in Karachi in 1993 to discuss the need for weapons for Bosnia during the War. Malaysia sent UN Peacekeeping forces to Bosnia and was part of the Contact Group advocating for Bosnia at the UN.
In February 2007, Mahathir was nominated by four non-governmental organisations in Bosnia and Herzegovina for the Noble Peace Prize Award 2007. The nominations were made by the Serb Civic Council from Bosnia and Herzegovina, the Croat National Council, the Sarajevo School of Science and Technology, and the Congress of Bosnik Intellectuals.

#### Pan-Asia rail link plan

Mahathir revived the plan for a “pan-Asian” railway network in 1995, an idea with roots in the early 1900s and later resurfaced in a 1960 UN proposal for a trans-Asian railway spanning 118,000 kilometers. In the post-Cold War era, as regional development cooperation gained momentum in East Asia, Mahathir proposed the construction of the Trans-Asian Railway linking Singapore, Malaysia, Thailand, and other countries in the central and southern peninsula to China. This was an early example of ASEAN's approach to regional connectivity through infrastructure cooperation. His push led ASEAN to focus on three main routes from Kunming to Bangkok, with extensions south to Kuala Lumpur and Singapore.
In 1996, during a visit to Kazakhstan, Mahathir emphasized the railway’s role in connecting Southeast Asia with China and, eventually, Central Asia, granting landlocked nations access to the sea. His comments also foreshadowed China’s Belt and Road Initiative (BRI), highlighting Kazakhstan’s strategic position between China, Russia, and Europe.

#### Antarctica

In 1982, Mahathir discussed the governance of Antarctica at the United Nations Convention on the Law of the Sea (UNCLOS). He emphasized that Antarctica should be regarded as the common heritage of mankind, opposing any unilateral claims of sovereignty and advocating for international cooperation in its management and resource utilization. At the time, there were concerns that minerals could be exploited in Antarctica, and the media regarded Mahathir’s stance as the only political challenge ever mounted to the Antarctic Treaty in decades. In 1984, Mahathir stated that while the Antarctic Treaty system had contributed positively, there was a need to establish a broader foundation for international cooperation in Antarctica, and he proposed the formation of a "special committee on Antarctica" to conduct an in-depth study and build consensus on a new administrative framework for the continent and the mechanisms required to achieve it. Later, in October 1999, Malaysia sent four scientists to Antarctica to conduct research, focusing on air pollution as part of Universiti Malaya's air pollution research unit. Then, in November 2001, Malaysia launched a second mission, sending two scientists from Universiti Malaya to conduct research on marine and biological sciences.
In February 2002, Mahathir led a Malaysian delegation, including his wife and several cabinet members, on a visit to Antarctica. They traveled from Ushuaia, Argentina, aboard the Russian icebreaker Kapitan Dranitsyn. Mahathir described the trip as a "once in a lifetime" experience and expressed his amazement at the continent’s cold yet beautiful landscape.

### Defence

Under Mahathir's leadership, Malaysia undertook significant military modernization efforts. As Minister of Defence from 1981 to 1986, he played a key role in shaping the country's defense strategy. His administration oversaw the procurement of advanced military assets, including 18 Russian-made MiG-29N fighter jets and eight American-made F/A-18D Hornets, diversifying Malaysia’s defense partnerships beyond traditional suppliers. Malaysia also explored the purchase of submarines, with plans to acquire British Oberon-class submarines in 1988, although the deal was later canceled. Additionally, Mahathir strengthened Malaysia’s defense ties with various countries, including Poland, Brazil, India, and Pakistan, expanding the range of military equipment procurement.
A major structural reform during Mahathir’s leadership was the establishment of the 10th Parachute Brigade (10 Briged Para) in 1994 as a Rapid Deployment Force (Pasukan Aturgerak Cepat). Internationally, Malaysia became a key contributor to United Nations peacekeeping missions, deploying around 18,000 military and police personnel between 1998 and 2003. The country’s active participation peaked between 1992 and 1996, with about 2,500 peacekeepers sent to Cambodia, Bosnia, and Somalia. In recognition of Malaysia’s commitment, the Malaysian Peacekeeping Training Centre (MPC) was established in Port Dickson in 1996, following an agreement with the UN to provide personnel for peacekeeping missions at any time.

### Indian Community Policies

During Mahathir's tenure, several initiatives were introduced that impacted the Indian Malaysian community. He allocated RM50 million for the establishment of AIMST University, along with 228 acres of government land at a low price, which was further supported by an additional RM250 million from the federal government. The university aimed to provide tertiary education for Malaysian Indian students. Mahathir also funded the technical TAFE College in Seremban and offered land at a low price. Additionally, the Public Works Department built 60 Tamil schools. His quota system for public university intake enabled many underprivileged Indian students with lower qualifications to pursue tertiary education.

## Retirement and post–first term premiership (2003–2015)

On his retirement, Mahathir was named a Grand Commander of the Order of the Defender of the Realm, the highest honor in Malaysia, allowing him to adopt the title of "Tun". Under Mahathir's leadership, Malaysia was transformed into an industrialising nation. He pledged to leave politics "completely", rejecting an emeritus role in Abdullah's cabinet. Abdullah immediately made his mark as a quieter and less adversarial premier. With stronger religious credentials than Mahathir, he beat back PAS's surge in the 1999 election and lead the Barisan Nasional in the 2004 election to its biggest win ever, taking 199 of 219 parliamentary seats. On 23 October, Mingguan Malaysia published an exclusive interview with Mahathir, marking his first since retiring as Prime Minister.
After retiring, Mahathir maintained a busy schedule, engaging in various activities and speaking engagements both locally and internationally. He emphasized the importance of staying active, stating, "Never retire. You have to work. When you work, it will keep you alive."
Mahathir was the CEO and Chairman, and hence a senior adviser, for many flagship Malaysian companies such as Proton, Perdana Leadership Foundation and Malaysia's government-owned oil and gas company Petronas. He did not receive any remuneration for his advisory positions. He was also made Universiti Teknologi Petronas (UTP) Chancellor in 2004, succeeding the late Raja Mohar Raja Badiozaman. On June 15 of the same year, Mahathir was appointed chairman of the NAM Business Council International Advisory Panel. In 2006, Mahathir co-founded The Loaf bakery with Motoko Resources Sdn Bhd, opening its first store in Telaga Harbor, Langkawi, before expanding to 12 outlets in locations such as KLCC, Pavilion, Sogo, and Empire Shopping Gallery. He also served as The Loaf’s chairman.
Despite his business ventures, Mahathir remained an influential figure, and his views on national matters continued to draw attention. Mahathir and Abdullah had a major fallout over Proton in 2005. While Abdullah was attempting to reform the company and implemented high import tariffs on foreign cars, Mahathir accused Abdullah's government of cronyism in relation to import licences. Proton's chief executive, a Mahathir ally, had been sacked by the company's board. With Abdullah's blessing, Proton then sold one of its prise assets, the motorcycle company MV Agusta, which was bought on Mahathir's advice.
Mahathir criticised the awarding of import permits for foreign cars, which he claimed were causing Proton's domestic sales to suffer, and attacked Abdullah for cancelling the construction of a second causeway between Malaysia and Singapore.
Mahathir complained that his views were not getting sufficient airing by the Malaysian press. In response, he began writing a column for Malaysiakini and starting his own blog. He unsuccessfully sought election from his local party division to be a delegate to UMNO's general assembly in 2006, where he planned to initiate a challenge to Abdullah's leadership. Mahathir had previously missed the Umno General Assembly twice since 2006 due to health reasons. After the 2008 election, in which UMNO lost its two-thirds majority in parliament, Mahathir resigned from the party. When Abdullah was replaced by his deputy Najib Razak in 2009, Mahathir re-joined the party. When Abdullah was replaced by his deputy Najib Razak in 2009, Mahathir re-joined the party and urged all former members to follow his move. Before the 2013 general election, Mahathir promised to keep the government in check and ensure it fulfilled its manifesto promises, vowing to protest and fight against it if it failed.
Mahathir established the Kuala Lumpur Initiative to Criminalise War Forum in an effort to end war globally, as well as the Kuala Lumpur War Crimes Commission to investigate the activities of the United States, Israel and its allies in Iraq, Lebanon and the Palestinian territories. In March 2015, Mahathir attended a conference where he stated his belief in a "New World Order", where an elite would attempt rule the planet in a single world government, and exterminate billions of humans.

## Return to politics (2015–2018)

By 2015, even at 90 years old, Mahathir remained sharp and combative. He repeatedly called for prime minister Najib Razak to resign over the 1Malaysia Development Berhad (1MDB) corruption scandal. On 30 August 2015, he and Siti Hasmah attended the Bersih 4 rally, a mass protest organised in response to the scandal. In 2016, Mahathir chaired the Malaysian Citizens' Declaration, which brought together several political figures and non-governmental organisations in calling for Najib's resignation. In this declaration, Mahathir listed 37 points. Later, the Citizens' Declaration reached one million signatures in May of the same year. In the 2016 Sungai Besar by-election, he supported Amanah and other Pakatan Harapan leaders, lending his influence to the opposition coalition.
Mahathir left UMNO in 2016, and formed Parti Pribumi Bersatu Malaysia (BERSATU). The new party was officially registered on 9 September 2016, and Mahathir became its chairman. By 2017, he had officially joined the opposition coalition Pakatan Harapan. Negotiations then took place between different factions of the coalition for Mahathir to become the chairman and prime ministerial candidate. He assumed the position of chairman on 14 July 2017, despite reservations from supporters of Anwar Ibrahim, who could not contest in polls himself while imprisoned.
In 2016, Mahathir had his police outriders withdrawn after his privileges were revoked due to his participation in anti-government events. A year later, in 2017, the government further withdrew his personal bodyguard service provided by the police Special Action Unit (UTK), following the earlier termination of his cook and office assistant’s contracts. This decision by the government also drew criticism from various parties. However, Inspector-General of Police Mohamad Fuzi Harun denied this, stating that only ordinary police officers had been recalled, while Mahathir's bodyguard service from the elite UTK remained intact. The Prime Minister’s Department also refuted this claim, stating that it was still paying for 21 staff at Mahathir’s home and office.
In early 2018, Mahathir was announced as Pakatan Harapan's prime ministerial candidate for the upcoming general election. Wan Azizah, wife of his former political enemy Anwar, ran as his deputy. Mahathir's election promise was to seek a pardon for Anwar, in order to allow him to take over as prime minister after an interim period.

## Second term as prime minister (2018–2020)

Pakatan Harapan defeated Barisan Nasional in the 2018 general election. Concerns for a smooth power transition emerged as Najib declared that no party had achieved a majority. The National Palace of Malaysia subsequently confirmed Mahathir would be sworn in as Malaysia's seventh prime minister, refuting any claims of delaying the appointment. Immediately after the declaration of the results, people in Kuala Lumpur expressed their joy in celebration of the historic victory. Mahathir announced a two-day public holiday, adding: 'But there will be no holidays for the winners.'
He became the world's oldest serving state leader (aged 92 years, 304 days at the time), and the first Malaysian prime minister not to represent UMNO. His deputy, Wan Azizah became the first female deputy prime minister of Malaysia.
In April 2019, Mahathir was listed among Time magazine's 100 most influential people.

### Domestic affairs

Mahathir promised to "restore the rule of law", and reopen investigations into the 1Malaysia Development Berhad scandal, telling the press that Najib would face consequences if found guilty of corruption. Mahathir instructed the Department of Immigration to bar Najib and his wife, the notoriously extravagant Rosmah Mansor, from leaving the country after they attempted to fly to Indonesia.
Mahathir formed his cabinet of 29 ministers in June 2018. He abolished the unpopular Goods and Services Tax, reducing it from six to zero per cent. Mahathir implemented a “no gifts policy,” stating that he would only accept food, flowers, and fruits, while prohibiting government officials from receiving any other gifts to prevent corruption.
He also vowed to cut fiscal spending by firing thousands of civil servants, cancelling an expensive Kuala Lumpur–Singapore high-speed rail link and cutting back on large infrastructure projects initiated under Najib. Malaysia's freedom of the press improved slightly under Mahathir's tenure, and the country's rank rose in the Press Freedom Index. The government announced palm oil cultivation would be limited to 6.55 million hectares by 2023, and began a lobbying campaign to improve palm oil's reputation abroad.
On 20 June 2018, Mahathir met the father of murdered Mongolian woman Altantuya Shaariibuu and agreed that the case of her murder should be reopened.
A year into his term, Mahathir's approval ratings had fallen as the economy slowed and several planned reforms, such as abolishing capital punishment and the Sedition Act 1948, were not realised amid divisions in the coalition. Mahathir announced the Shared Prosperity Vision 2030 in October 2019, which set out for Malaysia to become a high income country by 2030. Another priority of his administration was a more transparent approach to defence. The government prepared the country's first defence policy white paper outlining long-term plans for the country.

### Foreign relations

Early in his second tenure, Mahathir visited Japan and Indonesia to reaffirm good relations, and reignited a water dispute with Singapore. By the end of 2018, several disputes over maritime and airspace borders with Singapore had continued. Mahathir met twice with president Rodrigo Duterte in his first year in office to strengthen cooperation with the Philippines on a broad range of security, economic and political issues. Mahathir again prioritised relations with Japan and strengthened economic and defence ties with Russia. He visited Vladivostok for a meeting of the Eastern Economic Forum in late 2019, where he cast doubt on the Joint Investigation Team's findings related to the downing of Malaysia Airlines Flight 17. Mahathir called the murder charges brought to four Russians related to the flight "ridiculous", calling it "a political issue on how to accuse Russia of wrongdoing". Malaysia launched a foreign policy framework in late 2019. In response to European Union regulations phasing out palm-oil based biofuels, Mahathir discussed bringing a formal complaint to the World Trade Organization or a case to the European Court of Justice with Indonesian president Joko Widodo.
Mahathir condemned the killing of Saudi journalist Jamal Khashoggi in October 2018 and the assassination of Iranian General Qasem Soleimani by the United States in 2020.
Mahathir was supportive of the 2018–19 Korean peace process. He also indicated that Malaysia would re-open its embassy in North Korea, which had remained closed since the 2017 assassination of Kim Jong-nam.

#### China

Mahathir's administration committed to retaining good relations with China, but promised to review all Belt and Road Initiative projects in Malaysia that were initiated by the previous government. He characterised these as "unequal treaties". His government suspended work on the East Coast Rail Link, which recommenced after terms had been renegotiated. Mahathir cancelled approximately $2.8 billion worth of deals with China Petroleum Pipeline Bureau altogether, citing high repayment costs.
On 13 February 2020, Mahathir spoke with Chinese President Xi Jinping to express solidarity and discuss cooperation in response to the COVID-19 outbreak. Prior to this, Mahathir had expressed his hopes that 2020, the 'Year of Culture and Tourism' between Malaysia and China, would further strengthen the ties and friendship between the two nations.

### 2020 political crisis and resignation

By late 2019, disagreements emerged within Pakatan Harapan about Mahathir's planned handover of power to Anwar Ibrahim, eventually culminating in a political crisis in 2020. Mahathir and a faction of the coalition felt that Anwar would be unable to command a parliamentary majority. MPs supporting Anwar demanded a timeframe for Mahathir's resignation and handover of power.
In February 2020, MPs opposed to Anwar taking over met and agreed to form a new government. Anwar told the media that he had been "betrayed". Anwar and Mahathir met to clarify the situation, where Mahathir insisted he had no involvement in a new government.
Mahathir, refusing to work with UMNO leaders, submitted his resignation to the Agong, Abdullah of Pahang, on 24 February 2020. The Agong appointed him interim prime minister until a replacement could be agreed. BERSATU President Muhyiddin Yassin declared the party's withdrawal from Pakatan Harapan; Mahathir also resigned from the party in response.
On 29 February, the Agong appointed Muhyiddin prime minister, determining that he was most likely to be able to hold the support of a majority in parliament. Mahathir unsuccessfully attempted to challenge this with the Agong, but eventually left the prime minister's office an hour before Muhyiddin was sworn in.

## Post–second term premiership (2020–present)

Despite his advanced age and having stepped down as prime minister, Mahathir remains active on the international stage, frequently traveling, delivering speeches, and continuing to voice his views and influence both domestically and globally. He formed the Homeland Fighter's Party (PEJUANG) in August 2020. Four other MPs joined the new party, including Mahathir's son Mukhriz. The party was registered in July 2021. In August 2021, Mahathir and other MPs protested in Merdeka Square, calling for Muhyiddin's resignation over the government's response to the COVID-19 pandemic, after being blocked from entering parliament by police.
In April 2022, UMNO president Ahmad Zahid Hamidi filed a defamation lawsuit against Mahathir. In June 2022, Mahathir made irrendentist comments by stating that Singapore and the Riau Islands of Indonesia was once owned by Johor, and argued the state should claim them as part of Malaysia.
In September 2022, Mahathir said he was open to becoming the prime minister for a third time if there were no other suitable candidates. Having previously said he would not defend his Langkawi parliamentary seat, he announced he would contest the 2022 general election. In the election on 19 November, Mahathir lost his seat and election deposit, marking his first defeat in 53 years. No candidate from PEJUANG or Gerakan Tanah Air secured a seat. He later said that his party's plans "had to be dropped" and he would shift his focus to writing about Malaysian history.
In February 2023, Mahathir and 13 other members of PEJUANG (leaving his own son as the sole leader of that party) left the party and joined Parti Bumiputera Perkasa Malaysia (Putra). Later in 2023, Mahathir began promoting a "Malay Proclamation", aimed at uniting Malays. He met with PAS and PN leaders to garner support for the 12-point document listing political, economic and social issues. Mahathir was questioned by police over this campaign under the Malaysian Penal Code, for carrying out "activities that undermine parliamentary democracy". Mahathir also left GTA, criticising the coalition for its poor performance in the election. He supported Perikatan Nasional, the coalition that had ousted him in 2020, in six state elections and was named its "unofficial adviser" for the four state governments under its control.
On 31 August 2024, Mahathir attended the Merdeka Day celebration in Putrajaya in his personal capacity, as he was not officially invited by the government. His presence at the event, where he was warmly received by the crowd, sparked public debate. Prominent academic Chandra Muzaffar criticized the government's decision, describing it as a breach of Malaysian etiquette and values, particularly given Mahathir’s status as the country’s longest-serving prime minister. He stated that the exclusion contradicted the principles of the Rukun Negara, which emphasize courtesy and morality, and called for a clear explanation from the government.
In February 2025, Mahathir's official Facebook account confirmed that his X account (@chedetofficial) had been hacked, resulting in a post promoting cryptocurrency, and efforts were underway to recover it.

## Political positions and views

Mahathir's political views have shifted during his lengthy career. During the 1980s and 1990s, he was a supporter of third-worldism, while during other periods he has been a proponent of "Asian values" and globalisation. A Muslim thinker, he holds Islamic political views. In 2002, he characterised himself as an Islamic fundamentalist. Mahathir is generally respected in developing and Islamic countries, particularly due to his oversight of Malaysia's economic growth and his support of liberal Muslim values.
Mahathir has been described as a proponent of Malay nationalism. In The Malay Dilemma, he argued that the Malay race had been marginalised, and voiced his support for affirmative action policies for them. Upon his first resignation, he expressed his disappointment at the progress made towards his "principle task" of supporting the Malay race. In 2021, Mahathir said he did not believe in "Ketuanan Melayu", calling it a "fantasy", and said instead that he believed in the concept of "Bangsa Malaysia", but later clarified in 2023 that his vision of Bangsa Malaysia meant the assimilation of non-Malay people into Malay culture and argued against multiculturalism. He has been described as anti-royalist by Libération, owing to his efforts to oppose immunity for members of Malaysia's monarchies.
Mahathir is a vocal critic of neoliberalism and the Western world. In 2011, Mahathir suggested that the September 11 attacks might have been staged by the United States government. Mahathir condemned the Universal Declaration of Human Rights in 1997, suggesting it be revised to place greater importance on economic growth over civil liberties. In 2019, Mahathir stated that Malaysians should learn from the hard work of China’s citizens, which enabled their nation to achieve technological advancement within a few decades.
Mahathir has advocated for a balance between environmental protection and natural resource use for economic growth in developing countries. He referred to the outcomes of the Earth Summit as "eco-imperialism", arguing that Global North countries put an undue burden on Global South countries for environmental degradation. In response to international scrutiny, he said in 2019 that linking palm oil production to deforestation was "baseless, unfair and unjustified" and that the Malaysian palm oil sector had developed sustainably.

### Antisemitism

   We (Muslims) are actually very strong. 1.3 billion people cannot be simply wiped out. The Europeans killed 6 million Jews out of 12 million. But today the Jews rule the world by proxy. They get others to fight and die for them.
A strident critic of Israel, Mahathir has been accused of antisemitism throughout his political life. In The Malay Dilemma, he wrote that "Jews are not merely hook-nosed, but understand money instinctively". In August 1983, Mahathir claimed in a speech that Jews control the international media. In March 1994, he banned the screening of Schindler's List on the grounds that he viewed it as anti-German, pro-Jewish propaganda. During the collapse of the ringgit and the economic crisis in 1997, he made a series of remarks blaming Jews, in particular George Soros, a Jewish "agenda", and "an international Jewish conspiracy" attempting to destroy the economies of Muslim countries.
During an Organization of Islamic Cooperation summit held in Kuala Lumpur in 2003, he accused Jews of "ruling the world by proxy" and getting "others to fight and die for them". His speech was denounced by President George W. Bush. In 2012, he claimed he was "glad to be labelled antisemitic". In a 2018 BBC interview he repeated similar statements, as well as disputing the number of Jews killed in the Holocaust. In 2019, when asked why he had previously claimed that Jews are "inclined towards money" he responded that he had Jewish friends, and that "they are not like the other Jews, that's why they are my friends." Mahathir has defended his comments about Jews as an exercise of free speech, and by claiming that "the Jews do a lot of wrong things which force us to pass comment."

### LGBT rights

Mahathir opposes an expansion of LGBT rights in Malaysia. In 2001, Mahathir said that any homosexual ministers from the United Kingdom would be barred from entering Malaysia. During an October 2018 lecture to university students in Bangkok, Mahathir contrasted Malaysian values with those of Western nations and cited "the institution of marriage [and] the family" in his opposition to LGBT.

### Comment about 2020 Nice stabbing

   The French in the course of their history have killed millions of people. Many were Muslims. Muslims have a right to be angry and to kill millions of French people for the massacres of the past. But by and large the Muslims have not applied the 'eye for an eye' law. Muslims don't. The French shouldn't. Instead the French should teach their people to respect other people's feeling.
In the aftermath of the 2020 Nice stabbing and murder of Samuel Paty, Mahathir posted remarks on his blog. Mahathir said that the attacks were wrong and against Islam, but also argued that Muslims had a right to be angry and kill French people for past massacres committed by the French. Mahathir's post was later circulated on his Twitter account, where it was labelled for "glorifying violence".
Mahathir was criticised for stoking tensions and hatred by the former Australian ambassador to France Brendan Berne, Australian prime minister Scott Morrison, and French secretary of state for digital affairs Cédric O. Malaysian cleric and politician Fathul Bari Mat Jahya also condemned Mahathir's remarks.
Mahathir responded that his comments were taken out of context and he was not "promoting massacre of the French". Facebook and Twitter later removed his posts.

## Personal life

   I don’t smoke, I don’t drink, and I don’t overeat. I eat just enough to keep me going. Once people hit a certain age, there’s a tendency to become overweight. Many develop a big stomach, and to feel satisfied, they eat and drink too much, which puts a strain on their heart. I’ve stayed around 62-64 kg for years, and I can still wear clothes I had made 30 years ago.
Mahathir's hobbies include sailing, horse riding and carpentry. He has built a functioning steam train and a boat. Mahathir attributed his longevity to disciplined eating habits, reading newspapers daily, exercising and maintaining upright posture. His favourite song is "My Way". Mahathir once revealed that he owns close to 40 horses, which were gifted to him. An avid reader, his favourite authors are Wilbur Smith and Jeffrey Archer. Mahathir, known as a workaholic, humorously remarked in 2019 that KSM is the award he adores, explaining that it stood for Kerja Sampai Mati (work till death).
According to the United Press International (UPI), Mahathir enjoys activities such as cooking and driving his family to downtown restaurants, reflecting a preference for simplicity in his personal life. Despite Malaysian culture's traditional emphasis on courtesy and tolerance, Mahathir is known for his focus on detail and emphasis on swift decision-making. Speaking to Malaysiakini, Mahathir's granddaughter, Ineza, described him as a family-oriented man who enjoys spending time with his family and joking around with his grandchildren.
On 22 March 1976, Mahathir was involved in a car accident near Sekinchan. No one was injured, and he continued his journey in a police escort car to officiate school events.
Mahathir's childhood home in Alor Setar, was opened to the public on 19 December 1992. Named Rumah Kelahiran Mahathir Mohamad, it showcases items such as photographs, personal documents, and medical instruments from his early life. The restoration project, led by the National Archives, was their second after P. Ramlee's house in Penang. On 23 September 2024, Mahathir shared a video of himself driving at the Sepang International Circuit (SIC). In the three-minute video, he accelerated and reached a speed of 154 km per hour.

### Marriage and family

While in college, he met his future wife, Siti Hasmah, who was also a medical student. They married in August 1956, when Mahathir was 31 and Siti Hasmah was 30. Their daughter, Marina, viewed this as progressive since it was considered a late marriage for their generation. He and Siti Hasmah had their first child, Marina, in 1957, before conceiving four others, Mirzan, Mokhzani, Melinda, and Mukhriz, as well as adopting three more, Melinda, Maizura and Mazhar, over the following 28 years. On 5 August 2021, Mahathir celebrated his 65th wedding anniversary with Siti Hasmah.

### Health

Mahathir has faced several health challenges, including heart problems, pneumonia, and chronic coughs caused by lung infections. However, he mentioned during the International Convention on Biotechnology in 2002 that he successfully overcame his chronic cough by consuming a Chinese medicine containing Tiger Milk Mushroom.
On 22 August 1981, Mahathir fainted from exhaustion during a speech in Kedah but quickly recovered and resumed duties by meeting Thailand's Prime Minister in Bangkok on August 23. Later, he took a two-week vacation in Spain and Portugal to rest.
On 18 January 1989, Mahathir was admitted to the hospital due to chest pains, and subsequently underwent bypass surgery. Despite his doctor’s recommendation for surgery in the US, he insisted on being treated in Malaysia to demonstrate confidence in local medical services. Reflecting on the decision, he noted, “As a doctor myself, I understood the risks, including the possibility of not surviving, as the procedure was not common at the time.” After his recovery, Mahathir left the country on March 12 for visits to London, Spain, and Morocco, where he also met with the Spanish Prime Minister Felipe González. He returned to the country on April 3 and resumed official duties the following day.
On 2 April 1999, Mahathir was admitted to the National Heart Institute (IJN) due to a lung infection after returning from Mecca. He was discharged on 12 April after 11 days of treatment and was advised to rest at home and avoid visitors. Mahathir resumed his duties on 19 April after a week of rest following his treatment.
On 9 November 2006, Mahathir suffered a mild heart attack and was subsequently transferred to the general ward of the IJN after a stable night in the Coronary Care Unit (CCU). He was discharged from the IJN on 14 November.
On 2 September 2007, Mahathir was admitted to the IJN and subsequently underwent his second coronary bypass there successfully. On 13 September, he was moved out of the Intensive Care Unit to a regular ward. On 23 September, he underwent a three-hour procedure to remove infected tissue from a wound. On 25 September, the IJN stated that Mahathir is conscious with his vital parameters stable as he is eased off his support medication. After 50 days in hospital, Mahathir was discharged from the IJN on 21 October.
He was hospitalised for treatment of another chest infection in Australia in October 2010. On 18 November 2013, Mahathir was admitted to the IJN due to a chest infection and underwent treatment, physiotherapy, and monitoring. On 9 August 2016, he admitted to the IJN again to receive treatment for a chest infection. In February 2018, Mahathir was admitted to the IJN for a chest infection after experiencing a bout of coughing. The following year, as prime minister, he attracted attention when he suffered a nosebleed at a press conference.
On 7 March and 27 March 2021, Mahathir received two doses of the COVID-19 vaccine.
In December 2021, Mahathir was admitted to the IJN for a medical check-up and observation. He was discharged after several days. In January 2022, Mahathir underwent an unspecified elective medical procedure at the IJN. He was readmitted later the same month, and placed in the coronary care unit. He continued rehabilitation and treatment after being discharged.
In August 2022, Mahathir tested positive for COVID-19 and was admitted to the IJN for observation. He was discharged after receiving treatment.
In August 2023, Mahathir was hospitalised with an infection, he was discharged days later. In January 2024, he was again hospitalised due to an infection, and again six months later in July due to coughing.
On 15 October 2024, Mahathir was admitted to the hospital due to a respiratory infection; He was discharged on 28 October.

### Security incidents and assassination threats

Mahathir has been the target of various security incidents throughout his political career, including bomb hoaxes, assassination plots, and physical attacks. These incidents, often tied to his political decisions and prominent role in Malaysian politics, were successfully thwarted or resolved without major harm.

## Election results

Parliament of Malaysia :
| Year | Constituency | Candidate | Votes | Pct | Opponent(s) | Opponent(s) | Votes | Pct | Ballots cast | Majority | Turnout |
| 1964 | P008 Kota Star Selatan | Mahathir Mohamad (UMNO) | 12,406 | 60.22% | | Ahmad Shukri Abdul Shukur (PAS) | 8,196 | 39.78% | 21,440 | 4,210 | 82.8% |
| 1969 | P008 Kota Star Selatan | Mahathir Mohamad (UMNO) | 12,032 | 48.03% | | Yusof Rawa (PAS) | 13,021 | 51.97% | 25,679 | 989 | 78.6% |
| 1974 | P004 Kubang Pasu | Mahathir Mohamad (UMNO) | Unopposed | Unopposed | Unopposed | Unopposed | Unopposed | Unopposed | Unopposed | Unopposed | Unopposed |
| 1978 | P004 Kubang Pasu | Mahathir Mohamad (UMNO) | 18,198 | 64.64% | | Halim Arshat (PAS) | 9,953 | 35.36% | 29,014 | 8,245 | 78.36% |
| 1982 | P004 Kubang Pasu | Mahathir Mohamad (UMNO) | 24,524 | 73.67% | | Yusof Rawa (PAS) | 8,763 | 26.33% | 34,340 | 15,761 | 78.79% |
| 1986 | P004 Kubang Pasu | Mahathir Mohamad (UMNO) | 25,452 | 71.48% | | Azizan Ismail (PAS) | 10,154 | 28.52% | 36,409 | 15,298 | 74.21% |
| 1990 | P004 Kubang Pasu | Mahathir Mohamad (UMNO) | 30,681 | 78.07% | | Sudin Wahab (S46) | 8,619 | 21.93% | 40,570 | 22,062 | 77.51% |
| 1995 | P006 Kubang Pasu | Mahathir Mohamad (UMNO) | 24,495 | 77.12% | | Ahmad Mohd Alim (PAS) | 7,269 | 22.88% | 33,010 | 17,226 | 73.61% |
| 1999 | P006 Kubang Pasu | Mahathir Mohamad (UMNO) | 22,399 | 63.22% | | Ahmad Subki Abd. Latif (PAS) | 12,261 | 34.61% | 36,106 | 10,138 | 78.62% |
| 2018 | P004 Langkawi | Mahathir Mohamad (BERSATU) | 18,954 | 54.90% | | Nawawi Ahmad (UMNO) | 10,061 | 29.14% | 35,250 | 8,893 | 80.87% |
| 2018 | P004 Langkawi | Mahathir Mohamad (BERSATU) | 18,954 | 54.90% | | Zubir Ahmad (PAS) | 5,512 | 15.96% | 35,250 | 8,893 | 80.87% |
| 2022 | P004 Langkawi | Mahathir Mohamad (PEJUANG) | 4,566 | 9.62% | | Mohd Suhaimi Abdullah (BERSATU) | 25,463 | 53.63% | 48,123 | 13,518 | 71.10% |
| 2022 | P004 Langkawi | Mahathir Mohamad (PEJUANG) | 4,566 | 9.62% | | Armishah Siradj (UMNO) | 11,945 | 25.16% | 48,123 | 13,518 | 71.10% |
| 2022 | P004 Langkawi | Mahathir Mohamad (PEJUANG) | 4,566 | 9.62% | | Zabidi Yahya (AMANAH) | 5,417 | 11.41% | 48,123 | 13,518 | 71.10% |
| 2022 | P004 Langkawi | Mahathir Mohamad (PEJUANG) | 4,566 | 9.62% | | Abd Kadir Sainudin (IND) | 89 | 0.19% | 48,123 | 13,518 | 71.10% |

## Honors, awards and recognitions

Mahathir received numerous awards and recognitions, including the Royal Family Order of Brunei (1997), Order of Mubarak the Great (1997), Honorary Ph.D. in Humanities from the National University of Mongolia (1997), Honorary Ph.D. in Literature from Al-Azhar University (1998), U Thant Peace Award from the United Nations Organization (1999), Order of Merit of the Republic of Poland (2002), Russian Order of Friendship (2003), Honorary Ph.D. from Tsinghua University (2004), Honorary Ph.D. from the University of Santo Tomas (2012), Honorary Ph.D. in Laws from the National University of Singapore (2018), Japanese Order of the Paulownia Flowers (2018), Honorary Ph.D. from Qatar University (2019), Honorary Ph.D. from the International University of Japan (2019), Order of Pakistan (2019), and the Order of the Republic of Turkey (2019).