Netball at the Pacific Games (previously known as the South Pacific Games) has been an optional Pacific Games sport since 1963.

Fiji have been the tournament's most successful team, winning seven gold medals.

Cook Islands have won four gold medals.

To date, only the Cook Islands and Fiji have won netball gold at the Pacific Games.

Netball was originally scheduled as a medal sport for the 1969 South Pacific Games in Port Moresby, however, due to the sport having only two entries, a prize instead was awarded to the winner.