Marking the first Parapan American games hosted by Canada, and the second major Paralympic sports event hosted by Toronto since the 1976 Summer Paralympics, the Games were held at venues in Toronto and four other Golden Horseshoe communities.

[3] The official bid book document was submitted to the Pan American Sports Organization (PASO) on May 27, 2009.

The team analyzed the candidate city features and provided its feedback back to voting members of PASO.

After the visit Maglione said, "Toronto has all the conditions to play host to the Pan American Games".

Moreover, Toronto's elevation is at 112 m (367 ft) above sea level, which provides optimal and ideal conditions for athletes.

[8] In January 2012, the organizing committee announced that sixty percent of the originally proposed venues would be dropped, in favour of a clustering system seen at other multi-sport events such as the 2012 Summer Olympics in London, Great Britain.

Also $1 billion Canadian dollars was spent on building an athletes' village in the West Don Lands area of Toronto.

Later in 2011 Toronto's contribution to the games almost doubled from $49.5 million to $96.5 million for several reasons: the athletics stadium was moved to York University from Hamilton, the soil was to be remediated at the University of Toronto Scarborough where the proposed aquatics centre is supposed to be built, more money was needed for the proposed BMX track and the increase in inflation.

[14] After the games the village was converted to 746 market priced condos, 41 market-priced town homes, 250 affordable-rent apartments, 257 student dormitory units for George Brown College, office and retail units, and a YMCA recreation centre.

[15] In October 2013 it was announced that the medals for the games would be produced and designed by the Royal Canadian Mint.

[18] The designs of the medals, created by artist Christi Belcourt were revealed on March 3, 2015 at a ceremony at the Royal Ontario Museum.

[30] Before the ceremony began, the president of the Americas Paralympic Committee, Jose Luis Campo and Governor General David Johnston were introduced and entered the box of honour officially.

A rendition of Canada's national anthem was performed by Franco-Ontarian Gabrielle Goulet during the raising of the flag of the host country by the Royal Canadian Mounted Police and the Ontario Provincial Police and after that, a Lockheed C-130 Hercules of the Royal Canadian Air Force flew past over the stadium.

[31] The ceremony began with an introductory performance called Migration of honour which represents the four elements of life: earth, water, wind and fire.

[32] During the ceremony, Americas Paralympic Committee (APC) flag was carried into the stadium by Arnold Boldt, Tim McIsaac, Chelsey Gotell, Paul Rosen, Robert Hampson, David Shannon, Patrick Jarvis and Dr. Robert Steadward and raised to the Paralympic Anthem.

[33] Toronto 2015 chief executive Saäd Rafi and APC president Jose gave their speeches before Governor General David Johnston declare the games opened.

During the final torch relay, the flame was brought in by activist and athlete Rick Hansen and Canadian Broadcasting Corporation (CBC) program host Rick Mercer and passed to wheelchair racer Chantal Petitclerc who lit the cauldron.

The ceremony featured Sean Jones rendition of Canada's national anthem, the Franco-Ontarian urban folk band Le Group Swing, performances from Grammy award-winner Wyclef Jean, as well as country music singer-songwriter Meghan Patrick.