Tournament first-round games were held on campus sites at the higher seed on March 11.

The remaining rounds were held at Quicken Loans Arena, now known as Rocket Mortgage FieldHouse, in Cleveland, Ohio between March 13 and 16.

[1] Buffalo won the conference tournament championship game 77–61 over Ohio.

[2] Unlike recent MAC women's tournaments, in which the top two seeds received byes into the semifinals, with the 3 and 4 seeds receiving a bye to the quarterfinals, the tournament reverted to its original structure in which the top four seeds receive just one bye into the quarterfinals.

Miami (OH), Ohio, Buffalo and Central Michigan have clinched first round byes Miami (OH), Ohio, Buffalo and Central Michigan have clinched home games in the second round Akron, Bowling Green, Eastern Michigan, Western Michigan and Ball State will play in the first round First round games at campus sites of lower-numbered seeds Tournament MVP – Cierra Dillard, Buffalo[3] 2019 MAC men's basketball tournament