The 2003 Central and Western District Council election was held on 23 November 2003 to elect all 15 elected members to the 19-member District Council.

[1] The pro-democracy camp won a majority of the seats where The Frontier/Civic Act-up legislator Cyd Ho Sau-lan defeated the incumbent Ip Kwok-him of the Democratic Alliance for the Betterment of Hong Kong, who was also a legislator, in Kwun Lung.

The majority of the pro-democrats was balanced by 4 appointed members selected by the Chief Executive.

Before election: Change in composition: