Blended learning is a combination of online integration and face-to-face learning that complement one another to enhance and support learning. It is widely used by non-English speakers to improve their English writing and speaking skills. This book aims to outline the significance of using a blended learning approach as a supplement to the face to face learning in English language teaching and to understand the perception, the attitudes, and the challenges of the EFL teachers from tertiary education in the Republic of Macedonia, regarding blended learning in English language teaching.