Tokom kosovske krize 1999, Makedonija je primila na svoj trošak preko 300.000 albanskih izbjeglica. 2001. godine je sukob s pobunjenim Albancima okončan potpisivanjem Ohridskog okvirnog sporazuma, kojim su uvedene velike promjene u ustav i naknadnu teritorijalnu reorganizaciju.
During the Kosovo crisis in 1999, Macedonia housed over 300,000 Albanian refugees at its expense. In 2001, a conflict with rebel Albanians ended by signing the Ohrid Framework Agreement, which imposed major changes in the constitution and a subsequent territorial re-organisation.