Breast cancer is the commonest cancer among Malaysian women.The Ministry of Health Malaysia has been promoting Breast Self Examination (BSE) as part of breast health awareness since 1995.However, several nationwide studies have shown low levels of women participating in breast self examination, clinical breast examination as well as mammography.The delay on the critical early stage of breast cancer may cause the treatments received to be less effective, which then leads to low survival rates and also increased cost for medication and treatment.Thus this study aims to identify BSE practices and predictors among rural women in a state in Malaysia.This cross sectional study was conducted in rural areas in a state at the northwestern region of Peninsular Malaysia that persistently showed low levels of breast self examination in earlier studies.Utilizing a random selection of rural women aged 20 to 70 years in the state, based on an estimated sample size, data was collected via a pre-tested self administered/guided questionnaire based on the Champion Health Belief Model.The questionnaire consisted of socio-economic profile,practicè of BSE, knowledge on breast cancer and BSE, as well as beliefs (Champion Health Belief Model).There were 450 women identified with only 352 women responded with a response rate of 78.2%.A total of 244 (69.3%)of women had a breast self examination done at least once in their lifetime with 30.7% never practiced BSE before among the women.The women who practiced BSE had higher knowledge score on occurrence of breast cancer, risk factors, symptoms and BSE (p<0.001).The performers also scored higher regarding benefits, barriers, confidence and health motivation of doing BSE (p<0.001).The predictors of BSE practice are knowledge on BSE and symptoms of breast cancer, perceived benefits and barriers of BSE, and perceived confidence on BSE.