The monitoring of a well-functioning process system has always held significant importance. In recent times, there has been notable attention towards employing control charts to oversee both univariate and multivariate coefficients of variation (MCV). This shift is in response to the concern of erroneous outcomes that can arise when traditional control charts are applied under the condition of dependent mean and standard deviation, as highlighted by prior research. To address this, the remedy lies in adopting the coefficient of variation. Furthermore, this study underscores the application of MCV in scenarios where multiple quality attributes are simultaneously under surveillance within an industrial process. This aspect has demonstrated considerable enhancement in chart performance, especially when incorporating the variable sample size (VSS) feature into the MCV chart. Adaptive VSS, evaluated through metrics like median run length (MRL) and expected median run length (EMRL), is also integrated for MCV monitoring. In contrast to earlier studies that predominantly focused on average run length (ARL), this research acknowledges the potential inaccuracies in ARL measurement. In this study, two optimal designs for VSS MCV charts are formulated by minimizing two criteria: firstly, MRL; and secondly, EMRL, both accounting for deterministic and unknown shift sizes. Additionally, to assess the distribution's variability in run lengths, the study provides the 5th and 95th percentiles. The research delves into two VSS schemes: one with a defined small sample size (nS), and another with a predetermined large sample size (nL) for the initial subgroup (n(1)). The approach taken involves the development of a Markov chain method for designing and deriving performance measures of the proposed chart. These measures include MRL and EMRL. Moreover, a comparative analysis between the proposed chart's performance and the standard MCV chart (STD) is presented in terms of MRL and EMRL criteria. The outcomes illustrate the superiority of the proposed chart over the STD MCV chart for all shift sizes, whether they are upward or downward, and when n(1) equals nS or nL.