Artistic swimming at the Pan American Games
Duet
| Games | Gold | Silver | Bronze |
| 1955 | Ellen Richard Connie Todoroff (USA) | Glorida Botello Rebeca García (MEX) | Diana Baker Beverly McKnight (CAN) |
| 1963 | Barbara Burke Joanne Schaak (USA) | Marian Whitner Marcia Blixt (USA) | Marilyn Malefant Sandra Marks (CAN) |
| 1971 | |||
| 1975 | |||
| 1979 | |||
| 1983 | |||
| 1987 | |||
| 1991 | |||
| 1995 | |||
| 1999 | |||
| 2003 | |||
| 2007 | |||
| 2011 | |||
| 2015 Toronto | Canada Jacqueline Simoneau Karine Thomas | Mexico Karem Achach Nuria Diosdado | United States Mariya Koroleva Alison Williams |
| 2019 Lima | Canada Claudia Holzner Jacqueline Simoneau | Mexico Nuria Diosdado Joana Jiménez | United States Anita Alvarez Ruby Remati |
Team
| Games | Gold | Silver | Bronze |
| 1955 | United States | Canada | Mexico |
| 1963 | United States | Canada | Brazil |
| 1971 | |||
| 1975 | |||
| 1979 | |||
| 1983 | |||
| 1987 | |||
| 1991 | |||
| 1995 | |||
| 1999 | |||
| 2003 | |||
| 2007 | |||
| 2011 | |||
| 2015 Toronto | Canada Gabriella Brisson Annabelle Frappier Claudia Holzner Lisa Mikelberg Marie-Lou Morin Samantha Nealon Jacqueline Simoneau Karine Thomas | Mexic Karem Achach Karla Arreola Isabel Delgado Nuria Diosvdado Evelyn Guajardo Joana Jimenez Samantha Rodríguez Jessica Sobrino | United States Anita Alvarez Claire Barton Mary Killman Mariya Koroleva Sandra Ortellado Sarah Rodríguez Karensa Tjoa Alison Williams |
| 2019 Lima | Canada Emily Armstrong Catherine Barrett Andrée-Anne Côté Camille Fiola-Dion Rebecca Harrower Claudia Holzner Audrey Joly Halle Pratt Jacqueline Simoneau | Mexico Regina Alférez Teresa Alonso Nuria Diosdado Joana Jiménez Luisa Rodríguez Jessica Sobrino Ana Soto Pamela Toscano Amaya Velázquez | United States Anita Alvarez Paige Areizaga Nicole Goot Hannah Heffernan Daniella Ramirez Ruby Remati Abby Remmers Lindi Schroeder Emma Tchakmakjian |
Solo
| Games | Gold | Silver | Bronze |
| 1955 | Beulah Gundling (USA) | Rebeca García (MEX) | Joanne Royer (USA) |
| 1963 | Roberta Armstrong (USA) | Barbara Burke (USA) | Sandra Marks (CAN) |
| 1971 | |||
| 1975 | |||
| 1979 | |||
| 1983 | |||
| 1987 | |||
| 1991 | |||
| 1995 | |||
| 1999 | |||
| 2003 | |||
| 2007 | |||
| 2011 | |||
| 2015 Toronto | |||
| 2019 Lima |