Elections were held in Slovakia's eight self-governing regions on 14 November 2009.
Six of the regional presidencies were won by centre-left Direction – Social Democracy (Smer), with one being won by Smer's national conservative allies, the People's Party – Movement for a Democratic Slovakia (ĽS-HZDS). Bratislava was won by the centre-right Slovak Democratic and Christian Union – Democratic Party, having previously been held by ĽS-HZDS-backed Vladimír Bajan
| Region | Winner | Party | Endorsing parties | |||
|---|---|---|---|---|---|---|
| Bratislava | Pavol Frešo | width=5px bgcolor= | SDKÚ-DS | KDH, SMK, OKS, SaS | ||
| Trnava | Tibor Mikuš | bgcolor= | Smer | ND, SNS, SZ | ||
| Trenčín | Pavol Sedláček | bgcolor= | ĽS-HZDS | Smer, SNS | ||
| Nitra | Milan Belica | bgcolor= | Smer | SDKÚ-DS, KDH | ||
| Žilina | Juraj Blanár | bgcolor= | Smer | SNS, ĽS-HZDS, SZ, SF | ||
| Banská Bystrica | Vladimír Maňka | bgcolor= | Smer | ĽS-HZDS | ||
| Prešov | Peter Chudík | bgcolor= | Smer | ĽS-HZDS, HZD, SZS | ||
| Košice | Zdenko Trebuľa | bgcolor= | Smer | SMK, ĽS-HZDS, SF, HZD, SOS, Most–Híd, Liga |
| Party | Bratislava | Trnava | Trenčín | Nitra | Žilina | Banská Bystrica | Prešov | Košice | Total | % | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| width=5px bgcolor= | Smer | 13 | 4 | 20 | 15 | 16 | 20 | 21 | 26 | 33.1 | ||
| bgcolor= | SDKÚ-DS | 10 | 3 | 5 | 9 | 4 | 4 | 15 | 7 | 14.0 | ||
| bgcolor= | KDH | 8 | 8 | 3 | 7 | 13 | 2 | 10 | – | 12.5 | ||
| bgcolor= | SMK | 5 | 11 | – | 13 | – | 7 | – | 4 | 9.8 | ||
| bgcolor= | ĽS-HZDS | 1 | 3 | 7 | 7 | 5 | 7 | 5 | 4 | 9.6 | ||
| bgcolor= | SNS | – | 1 | – | – | 6 | 2 | – | – | 2.2 | ||
| bgcolor= | HZD | – | 2 | – | – | – | 1 | 1 | – | 1.0 | ||
| bgcolor= | OKS | 3 | – | – | – | 1 | – | – | – | 1.0 | ||
| bgcolor= | Most–Híd | 1 | 1 | – | – | – | – | – | – | 0.5 | ||
| bgcolor= | SF | – | – | – | – | – | – | 1 | 1 | 0.5 | ||
| bgcolor= | Other parties | 1 | 1 | – | – | 1 | 1 | 3 | 2 | 2.2 | ||
| bgcolor= | Independents | 2 | 6 | 10 | 3 | 11 | 5 | 6 | 13 | 13.7 | ||
| Total | 44 | 40 | 45 | 54 | 57 | 49 | 62 | 57 | 408 | 100 |
Nine further parties won one seat each.