The event took place on June 7, 2003, at the Telewest Arena in Newcastle, England, and was broadcast exclusively in the United Kingdom.

In the main event, Triple H defeated Kevin Nash in a Street Fight to retain the World Heavyweight Championship.

In other prominent matches, Christian defeated Booker T to retain the WWE Intercontinental Championship, Kane & Rob Van Dam defeated La Résistance (René Duprée and Sylvain Grenier) to retain the World Tag Team Championship, and in the opening bout, Jazz defeated Trish Stratus to retain the WWE Women's Championship.

Following this event, WWE did not produce another pay-per-view outside of North America until 2018 with that year's Greatest Royal Rumble, which was held in Saudi Arabia.

The 2003 Insurrextion would also be the final PPV to take place in the United Kingdom until Clash at the Castle in 2022 and in England specifically until Money in the Bank in 2023.