[1][2][3][4] ROH had its first women's match on June 22, 2002, at its Road to the Title show; it saw Sumie Sakai defeat Simply Luscious.

During the 2000s, ROH featured female wrestlers like Sara Del Rey, Daizee Haze, Serena Deeb, MsChif, Amazing Kong, Ashley Lane, Nevaeh, Allison Danger, Lacey, Taeler Hendrix, Mercedes Martinez and others on shows, later releasing a DVD featuring the best of its women's division.

[9][10] During this time period women of ROH managed and accompanied male stars such as Michael Elgin, Mike Bennett, Matt Taven, Truth Martini, R.D.

Evans, Moose, Cedric Alexander, Jay Lethal & Prince Nana and managed and were a part of stables such as The Kingdom, The House of Truth, Team RnB and The Briscoe Brothers.

[9][10][11][12][13][19][20][21][22][23][24] Also during that time period other ROH Girls such as Maria Kanellis,[19] Sara Del Ray, Allysin Kay, Jenny Rose, Athena Reese, Scarlett Bordeaux, Mandy Leon, Mia Yim, Cherry Bomb, MsChif, Barbi Hayden, Taeler Hendrix, Seleziya Sparx, Veda Scott, Leah Von Dutch, Tara,[20] ODB, Kasey Ray, Jessie Brooks and probably more spent there time wrestling in rare once in a life time (especially seen on television) ROH Women of Honor matches and in mix tag team matches against each other, interviewing talent, interviewing backstage talent, ring announcing, side ring bell ringing and managing and valeting male talent of the company.

[40] On April 7, 2018, at Supercard of Honor XII, Sumie Sakai defeated Kelly Klein in the tournament final to become the inaugural champion.

[41][42] Along with Sumie Sakai, there have been four champions overall, shared between Angelina Love,[43] Mayu Iwatani[44] and Kelly Klein, who held the title in a record setting three-time.

[45][46][47] On January 1, 2020, ROH deactivated the Women of Honor World Champion, held at the time by Kelly Klein, due to the former champion deciding not to renew her contract with the promotion amidst disagreements between the two parties, leading into Klein filling a lawsuit against the company over a year later in early 2021.

[48] During the ROH 19th Anniversary Show on March 26, 2021, Maria Kanellis made her on-screen return to the promotion and announced a new tournament to crown a new ROH Women's World Champion, the first since the retirement of the Women of Honor World Championship at the beginning of 2020.

After ROH resumed operations following a five-month pandemic related hiatus, a new 15-woman tournament (with one participant - Angelina Love - getting a first round bye due to Vita VonStarr being removed from the tournament via other personal issues with Maria Kanellis) was announced at Best in the World that took place beginning on July 31, 2021, and tournament final which Rok-C won to become the inaugural ROH Women's World Champion on September 12, 2021, at Death Before Dishonor XVIII.

1 ^ Participants in the original tournament included: Ashley Vox, Gia Scott, Heather Monroe, Jenny Rose, Katarina, Kellyanne, Lindsay Snow, Maria Manic, Session Moth Martina, and Tasha Steelz.