The elections were held using the two-round system; a candidate required a majority of the vote in the first round of voting, with a second round held if no candidate crossed the threshold. There was also a requirement for voter turnout in the second round to be at least 40% to validate the result.
There was a poll held in January 2009, before any names of candidates for president were made official, according to which 31.2% of the Macedonian citizens would vote for the candidate to be proposed by conservative party VMRO-DPMNE while 11.4% would give their vote to the candidate of the Social Democratic Union of Macedonia. A poll from February 2009 saw Ivanov at 27%, Frčkoski at 13%, Boškoski at 10%, Selmani at 9% and other candidates together at 18%. In a run-off, Ivanov would win over Frčkoski with 36% to 21%, with a large number of undecideds, however. A poll from shortly before the election saw Ivanov leading with 23.1% before Selmani with 13.3% and Frčkoski at 9.7%; 23.9% were undecided. A new poll, that was held one week prior to the run-off, saw Ivanov in lead with 25.4% and Frčkoski at 13.8%.
Conduct
Nearly 7,000 Macedonian and 500 foreign observers monitored the vote at Macedonia's nearly 3,000 polling stations. A fair and democratic election has been seen as an important factor for Macedonia's induction to NATO and the European Union.
Results
In the first round, Ivanov strongly led in front of the other candidates with 35%, with Frčkoski getting 20% and coming in second place and advancing to the run-off. New Democracy's Imer Selmani, who had been dubbed the "Macedonian Obama" for his ability to transcend the ethnic boundaries and appeal to ethnically Macedonian voters, as well, was by far the most successful candidate, gaining 15% of the vote and coming in third place, closely behind the independent Boškoski. 103 voting stations could not open due to heavy snowfall; voting was to be rescheduled there. Some days before the second round of the elections took place, VMRO-DPMNE and the Democratic Union for Integration agreed on supporting each other on both, the local and presidential elections. In part due to the existence of many voters in the registers who have left Macedonia years ago and live abroad, and in part due to the lack of motivation for ethnic Albanians to participate in the second round, there were fears that the minimum turnout of 40% might not be met in the second round, invalidating the election. There was a significant number of invalid ballots in both rounds, 3.15% in the first round and even 5.87% in the runoff. According to media reports, this was due to voter apathy and disenchantment with the candidates. It is reported that there was a Facebook group "Vote for Chuck Norris" with thousands of fans. It was also reported that on thousands of ballots names like "Chuck Norris", "GOD", "Jimi Hendrix" or "George Bush" were hand-written by the voters.