This article reviews the trend of national trade efficiency in Macedonia from 2005 to 2014, including the efficiency of domestic trade, international trade efficiency, as well as the various elements of the trend. The review provides the basis for the analysis of exploring the Macedonian national future trade development driving and influencing factors, also provides the corresponding data support for further promotion of the "Chongqing - Macedonia" and "China - Macedonia" trade development. Firstly, Macedonia's national trade efficiency generally showed an upward trend, while international trade efficiency has a significant positive contribution. Secondly, Macedonia's domestic trade efficiency generally showed an upward trend, in which the trade system efficiency is the most positive contribution rate. Finally, Macedonia's international trade efficiency volatility is large, but the overall trend is upward, and all the three elements have significant positive contribution rate. <<