Basque pelota was on the program for the second time at the 2003 Pan American Games in Santo Domingo, Dominican Republic.
Men's events
| Event | Gold | Silver | Bronze |
|---|---|---|---|
| 30m Frontenis |
Mexico Mexico
|
Cuba Cuba
|
Argentina Argentina
|
Women's events
| Event | Gold | Silver | Bronze |
|---|---|---|---|
| 30m Frontenis |
Mexico Mexico
|
Argentina Argentina
|
Cuba Cuba
|
Open events
| Event | Gold | Silver | Bronze |
|---|---|---|---|
| 30m Goma |
Argentina Argentina
|
Mexico Mexico
|
Cuba Cuba
|
| 36m Mano Singles |
Cuba Cuba
|
Mexico Mexico
|
Venezuela Venezuela
|
| 36m Mano Doubles |
Mexico Mexico
|
Cuba Cuba
|
Venezuela Venezuela
|
| 36m Cuero |
Argentina Argentina
|
Mexico Mexico
|
Uruguay Uruguay
|
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