The United States competed in the 2019 Pan American Games in Lima, Peru from July 26 to August 11, 2019.

[4][5][6] The United States 4x100 mixed medley relay swimming team originally won the gold medal, however it was disqualified for two alleged breaststroke kicks off the turn.

The United States qualified a full team of eight archers through the 2018 Pan American Archery Championships.

On 19 July, USA Track and Field was ordered by a U.S. court to re-select the team based on the 2019 comprehensive list.

[27] Head coach: Rutger Wiese The following 16 players were named in the United States squad, which was announced on 9 July 2019.

[28] Head Coach: Janneke Schopman Reserves: United States qualified but declined to enter.

[29] The United States qualified men's and women's teams by defeating Canada in a home and away series in September 2018.

The United States qualified a full team of 6 athletes through the 2018 Pan American Squash Championships.

The United States qualified six surfers (four men and two women) in the sport's debut at the Pan American Games.

The United States qualified a full team of six triathletes, four through the 2018 Pan American Mixed Relay Championships and two further through the International Triathlon Union World Rankings.

The United States men's and women's water polo teams are automatically qualified for the Pan American Games.