Wrestling has been part of the Pan American Games since the 1951 Games in Buenos Aires, Argentina.
Medal table
Updated after the 2023 Pan American Games.
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  United States | 151 | 70 | 49 | 270 |
| 2 |  Cuba | 106 | 71 | 59 | 236 |
| 3 |  Canada | 15 | 38 | 70 | 123 |
| 4 |  Argentina | 8 | 13 | 12 | 33 |
| 5 |  Ecuador | 4 | 2 | 10 | 16 |
| 6 |  Venezuela | 3 | 34 | 48 | 85 |
| 7 |  Brazil | 3 | 7 | 8 | 18 |
| 8 |  Mexico | 1 | 22 | 44 | 67 |
| 9 |  Colombia | 1 | 11 | 24 | 36 |
| 10 |  Puerto Rico | 1 | 6 | 15 | 22 |
| 11 |  Dominican Republic | 1 | 6 | 14 | 21 |
| 12 |  Panama | 0 | 7 | 8 | 15 |
| 13 |  Peru | 0 | 3 | 11 | 14 |
| 14 |  Chile | 0 | 1 | 5 | 6 |
| 15 |  Honduras | 0 | 1 | 2 | 3 |
| 16 |  El Salvador | 0 | 1 | 1 | 2 |
 Guatemala | 0 | 1 | 1 | 2 | |
| 18 |  Jamaica | 0 | 0 | 1 | 1 |
| Totals (18 entries) | 294 | 294 | 382 | 970 | |
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