| Event: | Women's 200 metres |
| Win Label: | Winning time |
The final of the Women's 200 metres event at the 2003 Pan American Games took place on Friday August 8, 2003, with the heats staged a day earlier. Silver medalist Cydonie Mothersille won the only medal for the Cayman Islands at the 2003 Pan American Games.
| 21.34 s | September 29, 1988 | ||||
| 22.45 s | July 9, 1979 | San Juan, Puerto Rico |
| Rank | Athlete | Heats | Final | |
|---|---|---|---|---|
| Time | Rank | Time | ||
| 1 | 22.78 | 1 | 22.69 [1] | |
| 2 | 22.89 | 2 | 22.86 | |
| 3 | 22.92 | 3 | 22.93 | |
| 4 | 23.36 | 7 | 23.26 | |
| 5 | 23.30 | 5 | 23.36 | |
| 6 | 23.21 | 4 | 23.46 | |
| 7 | 23.34 | 6 | 23.47 | |
| 8 | 23.83 | 8 | 23.80 | |
| 9 | 23.83 | 9 | ||
| 10 | 23.85 | 10 | ||
| 11 | 23.90 | 11 | ||
| 12 | 23.97 | 12 | ||
| 13 | 24.29 | 13 | ||
| 14 | 24.45 | 14 | ||
| 15 | 26.55 | 15 | ||