| Champ: | Hsieh Su-wei Barbora Strýcová |
| Runner: |  Gabriela Dabrowski Xu Yifan |
| Score: | 6–3, 6–1 |
| After Name: | Mutua Madrid Open – Women's doubles |
| After Year: | 2021 |
See main article: 2019 Mutua Madrid Open.
Ekaterina Makarova and Elena Vesnina were the defending champions, but chose not to participate this year.
Hsieh Su-wei and Barbora Strýcová won the title, defeating Gabriela Dabrowski and Xu Yifan in the final, 6–3, 6–1.
The top four seeds received a bye into the second round.