Swimming is one of the sports at the biennial Universiade competition. It has been one of the event's competed sports since the inaugural edition. It was not included in 1975 and 1989. This table also includes the results of open water events, which are optional since 2011.

Games	Year	Host city	Host country	Winner	Second	Third
I	1959	Torino	Italy	Italy	Soviet Union	United Kingdom
II	1961	Sofia	Bulgaria	Japan	Soviet Union	Romania
III	1963	Porto Alegre	Brazil	Hungary	Japan	Soviet Union
IV	1965	Budapest	Hungary	United States	Hungary	Soviet Union
V	1967	Tokyo	Japan	United States	United Kingdom	Japan
VI	1970	Torino	Italy	United States	Soviet Union	Yugoslavia
VII	1973	Moscow	Soviet Union	United States	Soviet Union	Germany
IX	1977	Sofia	Bulgaria	United States	Canada	Soviet Union
X	1979	Mexico City	Mexico	United States	Soviet Union	Czechoslovakia
XI	1981	Bucharest	Romania	United States	Soviet Union	Romania
XII	1983	Edmonton	Canada	Soviet Union	Canada	Australia
XIII	1985	Kobe	Japan	United States	Soviet Union	Netherlands
XIV	1987	Zagreb	Yugoslavia	United States	Romania	United Kingdom
XVI	1991	Sheffield	United Kingdom	United States	China	Canada
XVII	1993	Buffalo	United States	United States	Canada	Cuba
XVIII	1995	Fukuoka	Japan	United States	Japan	Brazil
XVIX	1997	Messina	Italy	Japan	United States	Ukraine
XX	1999	Palma de Mallorca	Spain	United States	Japan	Russia
XXI	2001	Beijing	China	United States	Japan	Ukraine
XXII	2003	Daegu	South Korea	Ukraine	China	Russia
XXIII	2005	İzmir	Turkey	United States	Poland	Japan
XXIV	2007	Bangkok	Thailand	United States	Japan	Germany
XXV	2009	Belgrade	Serbia	United States	Japan	Poland
XXVI	2011	Shenzhen	China	United States	Japan	China
XXVII	2013	Kazan	Russia	Russia	United States	Japan
XXVIII	2015	Gwangju	South Korea	United States	Japan	Russia
XXVIX	2017	Taipei	Taiwan	United States	Japan	Italy
XXX	2019	Naples	Italy	United States	Japan	Russia
XXXI	2021	Chengdu	China	China	Italy	Poland
XXXII	2025	Berlin	Germany

Last updated after the 2021 Summer Universiade

Rank	Nation	Gold	Silver	Bronze	Total
1	United States	303	244	185	732
2	Japan	105	110	136	351
3	Soviet Union	65	69	49	183
4	China	54	26	21	101
5	Russia	51	43	49	143
6	Italy	45	69	63	177
7	Ukraine	40	27	24	91
8	Canada	25	32	50	107
9	Australia	24	30	37	91
10	Great Britain	22	30	34	86
11	Poland	22	15	23	60
12	Hungary	20	15	15	50
13	Romania	18	14	12	44
14	Germany	13	20	20	53
15	Brazil	11	22	30	63
16	South Africa	10	12	5	27
17	Belarus	10	8	7	25
18	France	9	22	18	49
19	West Germany	8	11	27	46
20	Netherlands	7	17	18	42
21	Lithuania	7	2	4	13
22	New Zealand	6	9	5	20
23	Czech Republic	5	12	15	32
24	Cuba	5	1	1	7
25	Slovakia	5	0	2	7
26	Czechoslovakia	4	6	10	20
27	Yugoslavia	4	4	3	11
28	Hong Kong	4	1	0	5
29	Slovenia	3	3	2	8
30	Spain	2	4	6	12
31	South Korea	2	3	7	12
32	Belgium	2	3	2	7
33	Portugal	2	3	0	5
	Switzerland	2	3	0	5
35	Ireland	2	2	2	6
36	Sweden	2	2	1	5
37	Austria	2	1	4	7
38	Bulgaria	2	1	1	4
39	Kazakhstan	1	2	4	7
40	Serbia	1	2	2	5
41	Kenya	1	1	1	3
42	Greece	1	0	1	2
43	Finland	1	0	0	1
44	Israel	0	3	2	5
45	Chinese Taipei	0	2	1	3
46	Bahamas	0	1	2	3
47	East Germany	0	1	0	1
	Malaysia	0	1	0	1
49	Cyprus	0	0	2	2
50	Croatia	0	0	1	1
	Mexico	0	0	1	1
	Turkey	0	0	1	1
Totals (52 entries)		928	909	906	2,743

Last updated after the 2021 Summer Universiade

Rank	Nation	Gold	Silver	Bronze	Total
1	United States	302	244	184	730
2	Japan	106	110	138	354
3	Soviet Union	65	69	49	183
4	China	54	26	23	103
5	Russia	50	42	49	141
6	Italy	40	65	61	166
7	Ukraine	40	27	24	91
8	Canada	25	32	50	107
9	Australia	24	30	37	91
10	Great Britain	22	30	34	86
11	Poland	22	15	22	59
12	Hungary	19	15	15	49
13	Romania	18	14	12	44
14	Germany	13	18	19	50
15	Brazil	11	22	30	63
16	South Africa	10	12	5	27
17	Belarus	10	8	7	25
18	France	9	21	17	47
19	West Germany	8	11	27	46
20	Netherlands	7	17	18	42
21	Lithuania	7	2	4	13
22	New Zealand	6	9	5	20
23	Czech Republic	5	12	15	32
24	Cuba	5	1	1	7
25	Slovakia	5	0	2	7
26	Czechoslovakia	4	6	10	20
27	Yugoslavia	4	4	3	11
28	Hong Kong	4	1	0	5
29	Slovenia	3	3	2	8
30	Spain	2	4	6	12
31	South Korea	2	3	7	12
32	Belgium	2	3	2	7
33	Portugal	2	3	0	5
	Switzerland	2	3	0	5
35	Ireland	2	2	2	6
36	Sweden	2	2	1	5
37	Austria	2	1	4	7
38	Bulgaria	2	1	1	4
39	Kazakhstan	1	2	4	7
40	Serbia	1	2	2	5
41	Kenya	1	1	1	3
42	Greece	1	0	1	2
43	Finland	1	0	0	1
44	Israel	0	3	2	5
45	Chinese Taipei	0	2	1	3
46	Bahamas	0	1	2	3
47	East Germany	0	1	0	1
	Malaysia	0	1	0	1
49	Cyprus	0	0	2	2
50	Mexico	0	0	1	1
	Turkey	0	0	1	1
Totals (51 entries)		921	901	903	2,725

Last updated after the 2017 Summer Universiade

Rank	Nation	Gold	Silver	Bronze	Total
1	Italy	5	4	2	11
2	Russia	1	1	0	2
3	United States	1	0	1	2
4	Hungary	1	0	0	1
5	Germany	0	2	1	3
6	France	0	1	1	2
7	Croatia	0	0	1	1
	Japan	0	0	1	1
	Poland	0	0	1	1
Totals (9 entries)		8	8	8	24

• List of Universiade records in swimming
• List of Universiade medalists in swimming (men)
• List of Universiade medalists in swimming (women)

• 2009 Belgrade official website