Medlar-with-Wesham is civil parish and an electoral ward upon the Fylde in Lancashire, England. It lies within the Borough of Fylde, and had a population of 3,245 in 1,294 households recorded in the 2001 census. rising to 3,584 at the 2011 Census.
The parish contains the town of Wesham (pronounced variously /ˈwɛsəm/ WESS-əm, /ˈwɛʃəm/ WESH-əm, or /ˈwɛzəm/ WEZ-əm), adjacent to the larger town of Kirkham uncovered the parish. Technically, town status attaches to the sum up parish, but in practice it is the agreement of Wesham that is referred to as a town.