The effect of surface roughness, magnetic field, and couple stress on the performance of secant slider bearing is studied in this paper. The effectiveness of the bearing is assessed by using a couple stress liquid as the lubricant in the process. Because of microstructural impacts, couple stress fluids have distinctive rheological characteristics. These features have the potential to make a major impact on the bearing’s performance. The novel aspect of this study is that the roughness of the secant slider is taken into consideration. The modified Reynolds equation is derived using Christensen’s stochastic theory for roughness. Here, both transverse and longitudinal roughness patterns are considered. The analytical solutions are obtained for steady-state pressure, load-carrying capacity, film stiffness, and damping coefficient. The results are presented for various parameters through graphs and tables. The combined effect of the magnetic field and couple stress is significant on bearing characteristics. It is noticed that the bearing features increase with the longitudinal roughness parameter, and the reverse phenomenon is observed with the transverse roughness parameter. When a transverse roughness pattern is assumed on a secant slider bearing, characteristics like pressure, load, stiffness of the film, and damping coefficient increase significantly.