In recent decades, the landscape of families has undergone significant transformations in terms of their structure, size, and dynamics. Statistical data paints a clear picture of these changes, including shrinking family sizes due to a decline in marriages, an uptick in divorces, and a decreasing birth rate. Concurrently, the ongoing trends of migration and an aging population are altering the demographic composition. These shifts are equally evident within Macedonian society. The most recent population census, conducted after a two-decade gap (with the previous census in 2002), provides us with a comprehensive view of the demographic landscape in the Republic of North Macedonia and, more specifically, the evolution of the Macedonian family structure. This paper's objective is to dissect and compare the population, household, and family data collected during the 2021 and 2002 censuses. Through this analysis, we seek to elucidate the transformations within the Macedonian family over recent decades. The study takes on a descriptive research methodology, allowing for the identification, analysis, and comparison of trends over the past two decades. Content analysis was employed as one of the techniques utilized in this research. Results highlight shifts in the demographic composition of households and families due to factors such as migration and an aging population. We can realize shifts in Macedonian family structures. Families are getting smaller and more diverse. By comparing data from two points in time separated by two decades, the study identifies long-term trends in family structure and demographics that extend beyond the immediate changes observed.