The United States Virgin Islands has competed at the Pan American Games since 1967.
Medal count
| Year | Host city | 
|
|
|
Total |
|---|---|---|---|---|---|
| 1951 | Buenos Aires | did not participate | |||
| 1955 | Mexico City | did not participate | |||
| 1959 | Chicago | did not participate | |||
| 1963 | São Paulo | did not participate | |||
| 1967 | Winnipeg | 0 | 0 | 1 | 1 |
| 1971 | Cali | 0 | 0 | 0 | 0 |
| 1975 | Mexico City | 0 | 0 | 0 | 0 |
| 1979 | San Juan | 0 | 0 | 1 | 1 |
| 1983 | Caracas | 0 | 0 | 0 | 0 |
| 1987 | Indianapolis | 0 | 1 | 1 | 2 |
| 1991 | Havana | 0 | 0 | 2 | 2 |
| 1995 | Mar del Plata | 0 | 3 | 0 | 3 |
| 1999 | Winnipeg | 0 | 0 | 0 | 0 |
| 2003 | Santo Domingo | 0 | 0 | 0 | 0 |
| 2007 | Rio de Janeiro | 0 | 0 | 0 | 0 |
| 2011 | Guadalajara | 0 | 0 | 0 | 0 |
| 2015 | Toronto | 0 | 0 | 0 | 0 |
| 2019 | Lima | 0 | 0 | 0 | 0 |
| 2023 | Santiago | 0 | 0 | 0 | 0 |
| Total | 0 | 4 | 5 | 9 | |
