Yes, a Malaysia work visa can potentially lead to permanent residency, but it is not automatic. Foreign nationals must live and work in Malaysia for several years on a valid Employment Pass while maintaining stable employment, a good immigration record, and financial stability. Applicants must show long-term contribution to the Malaysian economy and strong ties to the country. Permanent residency approvals are discretionary and assessed on a case-by-case basis. Factors such as professional skills, duration of stay, salary level, and employer support influence the outcome.