The CONCACAF–AFC play-off of the 2003 FIFA Women's World Cup qualification competition was a two-legged home-and-away tie that decided one spot in the final tournament in the United States.

The play-off was contested by the third-placed team from CONCACAF, Mexico, and the fourth-placed team from the AFC, Japan.

[1] The draw for the order of legs was held at the FIFA headquarters in Zürich, Switzerland on 4 March 2003.

[1] However, due to the postponement of the 2003 FIFA Women's World Cup, the matches instead took place on 5 and 12 July 2003.

Japan won 4–2 on aggregate and qualified for the 2003 FIFA Women's World Cup.