Several foot deformities have been identified in Malaysian women due to wearing shoes which do not fit the size and shape of their feet. Hallux valgus (bunions), corn, cellules and ingrown toenail are among the common deformities experienced by Malaysian women. The root of this issue is that the Malaysian footwear market has adopted foreign shoe size standards such as those from the US and UK. This means that Malaysian women face difficulties in obtaining correctly-sized shoes. Therefore, the aim of this study is to develop and propose a standard shoe sizing system for women in Malaysia based on anthropometric measurements of Malaysian women’s foot sizes and shapes. Women from Malaysia’s primary ethnic groups (Malay, Chinese, and Indian) aged 20 to 60 years old participated in this project, where the anthropometric measurements for their foot size and shapes were obtained using a 3D foot scanner. Regression analysis in the form of Generalized Linear Model (GLM) was performed to determine the association between a few attributes including foot measurements and the existence of the foot deformities. Foot length and Ball girth circumference have significant association with the foot deformities (FL: p = .028 and BG: p = .045). The new standard shoe sizing system has been developed ith more accurate sizes and shapes, it is hoped that the foot deformities problem could be solved or at least reduced the foot pain.