Men’s competition
Slalom
| Year | Host | Gold | Silver | Bronze |
| 1995 | Mar del Plat, Argentina | Carl Roberto (USA) | Kreg Llewellyn (CAN) | Jorge Renosto (ARG) |
| 1999 | Winnipeg, Canada | Drew Ross (CAN) | Kreg Llewellyn (CAN) | Emiliano Botana (ARG) |
| 2003 | Santo Domingo, Dominican Republic | Drew Ross (CAN) | Jorge Suárez (MEX) | Javier Julio (ARG) |
| 2007 | Rio de Janeiro, Brazil | Drew Ross (CAN) | José Mesa (Colombia) | Felipe Miranda (Chile) |
| 2011 | Guadalajara, Mexico | Jonathan Travers (United States) | Jason McClintock (Canada) | Carlos Lamadrid (Mexico) |
| 2015 | Toronto, Canada | Nate Smith (United States) | Jason McClintock (Canada) | Javier Julio (Argentina) |
| 2019 | Lima, Peru | Robert Pigozzi (Dominican Republic) | Stephen Neveu (Canada) | Carlos Lamadrid (Mexico) |
| 2023 | Santiago, Chile |
Tricks
| Year | Host | Gold | Silver | Bronze |
| 1995 | Mar del Plat, Argentina | Jaret Llewellyn (CAN) | Tory Baggiano (USA) | Sergio Font (MEX) |
| 1999 | Winnipeg, Canada | Jaret Llewellyn (CAN) | Russell Gay (USA) | Javier Julio (ARG) |
| 2003 | Santo Domingo, Dominican Republic | Jaret Llewellyn (CAN) | Russell Gay (USA) | Jorge Ignacio (ARG) |
| 2007 | Rio de Janeiro, Brazil | Jaret Llewellyn (CAN) | Cory Pickos (United States) | Ryan Dodd (Canada) |
| 2011 | Guadalajara, Mexico | Javier Julio (Argentina) | Jason McClintock (Canada) | Felipe Miranda (Chile) |
| 2015 | Toronto, Canada | Adam Pickos (United States) | Jaret Llewellyn (Canada) | Javier Julio (Argentina) |
| 2019 | Lima, Peru | Patricio Font (Mexico) | Dorien Llewellyn (Canada) | Adam Pickos (United States) |
| 2023 | Santiago, Chile |
Jump
| Year | Host | Gold | Silver | Bronze |
| 1995 | Mar del Plat, Argentina | Jaret Llewellyn (CAN) | Carl Roberge (USA) | Sammy Duvall (USA) |
| 1999 | Winnipeg, Canada | Freddy Krueger (USA) | Jaret Llewellyn (CAN) | Simón Siegert (COL) |
| 2003 | Santo Domingo, Dominican Republic | Freddy Krueger (USA) | Jaret Llewellyn (CAN) | Ryan Dodd (CAN) |
| 2007 | Rio de Janeiro, Brazil | Jaret Llewellyn (CAN) | Ryan Dodd (Canada) | Rodrigo Miranda (Chile) |
| 2011 | Guadalajara, Mexico | Frederick Krueger IV (United States) | Rodrigo Miranda (Chile) | Felipe Miranda (Chile) |
| 2015 | Toronto, Canada | Ryan Dodd (Canada) | Rodrigo Miranda (Chile) | Felipe Miranda (Chile) |
| 2019 | Lima, Peru | Taylor Garcia (United States) | Felipe Miranda (Chile) | Dorien Llewellyn (Canada) |
| 2023 | Santiago, Chile |
Wakeboard
| Year | Host | Gold | Silver | Bronze |
| 2007 | Rio de Janeiro, Brazil | Marcelo Giardi (Brazil) | Brad Buskas (Canada) | Edgardo Martín (Argentina) |
| 2011 | Guadalajara, Mexico | Andrew Adkison (United States) | Marcelo Giardi (Brazil) | Alejo de Palma (Argentina) |
| 2015 | Toronto, Canada | Rusty Malinoski (Canada) | Daniel Powers (United States) | Juan Mendez (Venezuela) |
| 2019 | Lima, Peru | Andrew Adkison (United States) | Ulf Ditsch (Argentina) | Patricio González (Mexico) |
| 2023 | Santiago, Chile |
Overall
| Year | Host | Gold | Silver | Bronze |
| 2011 | Guadalajara, Mexico | Javier Julio (Argentina) | Felipe Miranda (Chile) | Rodrigo Miranda (Chile) |
| 2015 | Toronto, Canada | Felipe Miranda (Chile) | Jaret Llewellyn (Canada) | Javier Julio (Argentina) |
| 2019 | Lima, Peru | Dorien Llewellyn (Canada) | Rodrigo Miranda (Chile) | Tobías Giorgis (Argentina) |
| 2023 | Santiago, Chile |
Women’s competition
Slalom
| Year | Host | Gold | Silver | Bronze |
| 1995 | Mar del Plat, Argentina | Deena Mapple (USA) | Susi Graham (CAN) | Kim DeMacedo (CAN) |
| 1999 | Winnipeg, Canada | Kristi Overton-Johnson (USA) | Susi Graham (CAN) | Karen Truelove (USA) |
| 2003 | Santo Domingo, Dominican Republic | Karen Truelove (USA) | Regina Jaquess (United States) | Mariana Ramírez (MEX) |
| 2007 | Rio de Janeiro, Brazil | Whitney McClintock (Canada) | Regina Jaquess (United States) | Mandy Nightingale (United States) |
| 2011 | Guadalajara, Mexico | Regina Jaquess (United States) | Whitney McClintock (Canada) | Karen Stevens (Canada) |
| 2015 | Toronto, Canada | Whitney McClintock (Canada) | Regina Jaquess (United States) | Erika Lang (United States) |
| 2019 | Lima, Peru | Regina Jaquess (United States) | Whitney McClintock (Canada) | Paige Rini (Canada) |
| 2023 | Santiago, Chile |
Tricks
| Year | Host | Gold | Silver | Bronze |
| 1995 | Mar del Plat, Argentina | Tawn Larsen (USA) | Kim DeMacedo (CAN) | Lorena Botana (ARG) |
| 1999 | Winnipeg, Canada | Rhoni Barton (USA) | Lorena Botana (ARG) | Mariana Ramírez (MEX) |
| 2003 | Santo Domingo, Dominican Republic | Regina Jaquess (USA) | Rhoni Barton (USA) | Mariana Ramírez (MEX) |
| 2007 | Rio de Janeiro, Brazil | Whitney McClintock (Canada) | Mandy Nightingale (United States) | Regina Jaquess (United States) |
| 2011 | Guadalajara, Mexico | Whitney McClintock (Canada) | Maria Linares (Colombia) | Regina Jaquess (United States) |
| 2015 | Toronto, Canada | Natalia Cuglievan (Peru) | Whitney McClintock (Canada) | Erika Lang (United States) |
| 2019 | Lima, Peru | Natalia Cuglievan (Peru) | Erika Lang (United States) | Paige Rini (Canada) |
| 2023 | Santiago, Chile |
Jump
| Year | Host | Gold | Silver | Bronze |
| 1995 | Mar del Plat, Argentina | Sherri Sloan (USA) | Kim DeMacedo (CAN) | Andrea Gaytán (MEX) |
| 1999 | Winnipeg, Canada | Rhoni Barton (USA) | Karen Truelove (USA) | Kim DeMacedo (CAN) |
| 2003 | Santo Domingo, Dominican Republic | Karissa Wedd (CAN) | Rhoni Barton (USA) | Regina Jaquess (United States) |
| 2007 | Rio de Janeiro, Brazil | Regina Jaquess (United States) | Whitney McClintock (Canada) | Mandy Nightingale (United States) |
| 2011 | Guadalajara, Mexico | Regina Jaquess (United States) | Whitney McClintock (Canada) | Karen Stevens (Canada) |
| 2015 | Toronto, Canada | Regina Jaquess (United States) | Whitney McClintock (Canada) | Fernanda Naser (Chile) |
| 2019 | Lima, Peru | Regina Jaquess (United States) | Whitney McClintock (Canada) | Valentina González (Chile) |
| 2023 | Santiago, Chile |
Overall
| Year | Host | Gold | Silver | Bronze |
| 2011 | Guadalajara, Mexico | Regina Jaquess (United States) | Whitney McClintock (Canada) | Karen Stevens (Canada) |
| 2015 | Toronto, Canada | Whitney McClintock (Canada) | Regina Jaquess (United States) | Carolina Chapoy (Mexico) |
| 2019 | Lima, Peru | Regina Jaquess (United States) | Whitney McClintock (Canada) | Paige Rini (Canada) |
| 2023 | Santiago, Chile |
Wakeboard
| Year | Host | Gold | Silver | Bronze |
| 2019 | Lima, Peru | Eugenia De Armas (Argentina) | Mary Howell (United States) | Mariana Nep Ribeiro (Brazil) |
| 2023 | Santiago, Chile |