The Women's football tournament at the 2019 Pan American Games was held in Lima during July and August 2019.

For CONCACAF, the best team from each of the three zones (North American, Central American and Caribbean) at the 2018 CONCACAF Women's Championship qualified; however, both United States and Canada declined to participate to focus on the 2019 FIFA Women's World Cup, so Mexico qualified for the North American berth, while Costa Rica also qualified by decision of CONCACAF.

[2] The draw of the tournament was held on 12 April 2019, 12:00 PET (UTC−5), at the Peruvian Football Federation headquarters in Lima, Peru.

Costa Rica Jamaica Mexico Panama Argentina Colombia Paraguay The CONCACAF teams were drawn first and assigned to positions 1 and 2 in groups A and B.

The draw resulted in the following groups:[5] The draw was led by Hugo Figueredo, competition director of CONMEBOL, and had the help of Miriam Tristan and Cindy Novoa, members of the Peru women's national football team.