The championship debuted on October 14, 2007, at the Bound for Glory pay-per-view (PPV) event and the inaugural champion was Gail Kim.

The participants in the match were Alexis Laree, Elektra, Erin Bray, Francine, Miss Joni, Sasha, Shannon, Taylor Vaughn, and Teresa Tyler.

There, the team of Sarita and Taylor Wilde defeated The Beautiful People (Madison Rayne and Velvet Sky) to become the first champions.

[15] At the event, Gail Kim defeated Ms. Brooks, Christy Hemme, Awesome Kong, Roxxi Laveaux, Talia Madison, Shelly Martinez, Jackie Moore, ODB, and Angel Williams to become the first champion.

Its first design featured a white leather strap that is covered with two small gold plates that are encrusted with silver.

At the end of December 2014, TNA uploaded a photo on their Instagram account, in which the Knockouts Championship has a new design, replacing the white strap with a black strap, with the red color scheme changed to blue to coincide with the company's color scheme and the plates are now fully gold thus the encrusted silver is removed.

This belt was gifted to Jordynne Grace, signed by the roster, upon her final match with TNA in January 2024.

The inaugural champion was Gail Kim, who defeated Ms. Brooks, Christy Hemme, Awesome Kong, Roxxi Laveaux, Velvet Sky, Shelly Martinez, Jackie Moore, ODB, and Angelina Love in a ten Knockout Gauntlet for the Gold match on October 24, 2007, at TNA's Bound for Glory PPV event.

She defeated Jordynne Grace on October 26, 2024, at Bound for Glory in Detroit, Michigan to win the title.