The purpose of this study is to analyze types of roles and fashion of the Chinese first ladies and provide basic data for fashion image-making of first ladies. As for the research methods, the concepts, role types, and fashion of the first ladies were considered by referring to the precedent studies and relevant literature. Then, the fashion images according to role types were analyzed by collecting the photos of Chinese first ladies from the period of the Republic of China until today. The results were as follows: First, when the roles of Chinese first ladies were categorized based on ceremonial, political, and policy roles, Zhuo Lin and Wang Yeping played a ceremonial role; Wang Guangmei, Liu Yongqing, and Peng Liyuan played a political role; and Soong Qingling, Soong Mayling, and Jiang Qing played a policy role while they were first ladies. While the first ladies of the Republic of China often wore classic Chinese styles like traditional qipao as well as western clothes which contained a western influence, the first ladies of the People's Republic of China wore more colorful clothes and more accessories in the later period, and also often wore clothes that combined traditional and western elements. Second, first ladies who played a ceremonial role showed mannish and classic images; those who played a political role showed elegant, classic, and diverse images according to T.P.O; and those who played a policy role showed feminine, modern, and mannish images. Fashion images of the first ladies varied according to the level of political involvement, the sociocultural background of China at that time, and their personality and preference.