The Senior women's race at the 1991 IAAF World Cross Country Championships was held in Antwerp, Belgium, at the Linkeroever Racecourse on March 24, 1991.

A report on the event was given in The New York Times.

†: Athlete marked in the results list[2] as nonscorer.

An unofficial count yields the participation of 126 athletes from 30 countries in the Senior women's race.

This is in agreement with the official numbers as published.