The track and field competition at the 2002 Central American and Caribbean Games was held at the Estadio Nacional Flor Blanca in San Salvador, El Salvador, between 1 and 6 December 2002.

Results were reported and discussed in detail on a day-by-day basis.

[6] †: Lorena de la Rosa from the  Dominican Republic was tested positive for nandrolone, she and here teams were disqualified.

[7][8][9] Initially, she was 2nd in the 400m event (53.09s), 1st as member of the 4 × 100m relay team (44.90s), and 2nd as member of the 4 × 400m relay team (3:32.88min).

According to an unofficial count, 282 athletes from 28 countries participated.