This chapter examines the intersection of gender, transportation, and natural disaster management in Malaysia, with a focus on policy-making perspectives. Despite progress in gender equality, women often face disproportionate challenges during disasters, particularly in accessing transportation and medical services. The study analyzes the current state of gender mainstreaming in Malaysia's disaster management frameworks, highlighting both advancements and persistent gaps. Through a comprehensive review of policies, case studies, and empirical data, the chapter explores the unique roles and obstacles women encounter in transportation during natural disasters. It delves into gender-specific medical issues that arise in disaster situations, emphasizing the need for tailored healthcare responses. The research pays particular attention to the National Disaster Management Agency (NADMA) of Malaysia, evaluating its effectiveness in incorporating gender-inclusive approaches to disaster preparedness, response, and recovery. Findings reveal that while Malaysia has made strides in recognizing gender issues in disaster management, significant disparities remain in policy implementation and practical outcomes. The chapter identifies key areas for improvement, including enhanced women's participation in decision-making processes, gender-sensitive transportation planning, and more comprehensive medical support systems for women during crises. By synthesizing facts and figures from various sources, this study provides valuable insights for policymakers, disaster management professionals, and researchers. It concludes with actionable recommendations to foster more equitable and effective disaster management practices that address the specific needs of women in transportation and healthcare during natural disasters in Malaysia and beyond.