These are the results from the synchronised swimming competition at the 2003 World Aquatics Championships.
Medal summary edit
| Event | Gold | Silver | Bronze |
|---|---|---|---|
| Solo routine |
 Virginie Dedieu (FRA)99.251 |
 Anastasiya Yermakova (RUS)97.417 |
 Gemma Mengual (ESP)97.334 |
| Duet routine |
Anastasia Davydova (RUS) Anastasiya Yermakova (RUS) 99.084 |
 Miya Tachibana (JPN) Miho Takeda (JPN)98.084 |
Gemma Mengual (ESP) Paola Tirados (ESP) 96.667 |
| Team routine |
Russia (RUS) 98.750 |
Japan (JPN) 98.334 |
 United States (USA)96.834 |
| Combination routine |
Japan (JPN) 98.500 |
United States (USA) Spain (ESP) 97.333 |