See main article: 2003 Italian Open (tennis). Martin Damm and Cyril Suk were the defending champions but lost in the semifinals to Michaël Llodra and Fabrice Santoro.
Wayne Arthurs and Paul Hanley won in the final 6 - 1, 6 - 3 against Llodra and Santoro.
Champion seeds are indicated in bold text while text in italics indicates the round in which those seeds were eliminated. All eight seeded teams received byes to the second round.