The United States was represented by 2007 World bronze medallist Kara Goucher and 2008 Olympic third placer Shalane Flanagan (who was the second fastest that year).
[1] An American trio of Goucher, Flanagan and Jen Rhines set the pace in the initial stages of the competition.
After around 3000 metres, the Kenyan and Ethiopian teams asserted themselves and it was only Flanagan and Shitaye Eshete who maintained the positions with them.
Flanagan and Eshete were the next to trail away, then Meseret Defar dropped out entirely with stomach pains, reducing the leading pack to the four Kenyans (Masai, Cheruiyot, Kipyego and Priscah Jepleting Cherono) and Meselech Melkamu.
Cheruiyot held off her compatriot near the finish line to win the gold with a personal best of 30:48.98 minutes in what was only her third ever race over the distance.