| Champ: |  Victoria Azarenka Ashleigh Barty |
| Runner: | Anna-Lena Grönefeld Demi Schuurs |
| Score: | 4–6, 6–0, [10–3] |
| After Year: | 2020 |
See main article: 2019 Italian Open (tennis).
Ashleigh Barty and Demi Schuurs were the defending champions,[1] but chose not to participate together. Barty played alongside Victoria Azarenka and successfully defended the title, defeating Schuurs and Anna-Lena Grönefeld in the final, 4–6, 6–0, [10–3].
The top four seeds received a bye into the second round.