Tennis has been an event at the South American Games since the first edition in 1978. Until 1986 it was known as the Southern Cross Games.[1]
| 1978 | Andrés Gómez Raúl Viver | Diego Pérez Pablo Graf | ||
| 1982 | Alan Chacon Ricardo Segovia | |||
| 1986 | Marcelo Filippini Nicolas Zurmendi | |||
| 1990 | Alejandro Aramburu Américo Venero | |||
| 1994 | Jimy Szymanski Juan Bianchi | Luis Morejón Pablo Campana | Gustavo Kuerten Márcio Carlsson Antonio Eterovic Pablo Ugarte | |
| 1998 | Giovanni Lapentti Pablo Campana | Américo Venero Iván Miranda | ||
| 2002 | Marcel Felder Martín Vilarrubí | |||
| 2006 | Sergio Galdós Juan Pedro Torres | |||
| 2010 | Diego Hidalgo Roberto Quiroz | Facundo Argüello Agustín Velotti | Alejandro Arias Justiniano | |
| 2014 | Nicolás Barrientos and Carlos Salamanca | |||
| 2018 | Diego Hidalgo Emilio Gómez | Jorge Panta Juan Pablo Varillas | Cristian Rodríguez Eduardo Struvay |
| 1978 | ||||
| 1990 | ||||
| 1994 | ||||
| 1998 |
| 1978 | Carlota Velazco | |||
| 1982 | ||||
| 1986 | Patricia Miller | |||
| 1990 | Karim Strohmeier | |||
| 1994 | Claudia Brause | Déborah Gaviria | ||
| 1998 | ||||
| 2002 | Larissa Carvalho | Marina Tavares | ||
| 2006 | Teliana Pereira | Mariana Duque | ||
| 2010 | Cecilia Costa Melgar | Verónica Cepede Royg | Fernanda Brito | |
| 2014 | Paula Cristina Gonçalves | Verónica Cepede Royg | Bianca Botto | |
| 2018 | Montserrat González |
| 1978 | Carlota Velasco Cinthya Teran | |||
| 1982 | Fiorita Gomesz Nives Missana | |||
| 1990 | Carla Rodriguez Paola Monteferri | |||
| 1994 | María Francesa Maria Marra | Alexandra Guzman Nuria Niemes Fernanda Tsucamoto Marcia Komlos | ||
| 1998 | Maria Cristina Campana Paola Guerrero | Cecilia Guillenea Daniela Peyrot | ||
| 2002 | Larissa Carvalho Marina Tavares | Patricia Coimbra Jenifer Widjaja | ||
| 2006 | Teliana Pereira Roxane Vaisemberg | Mariana Muci Marina Giral | ||
| 2010 | Fernanda Brito Cecilia Costa Melgar | Andrea Gámiz Adriana Pérez | Agustina Eskenazi Catalina Pella | |
| 2014 | Andrea Gámiz and Adriana Pérez | Verónica Cepede Royg and Montserrat González | Paula Cristina Gonçalves and Laura Pigossi | |
| 2018 | Camila Giangreco Montserrat González | Camila Romero Charlotte Römer |
| 1978 | ||||
| 1990 | ||||
| 1994 | ||||
| 1998 |
| 1978 | Carlota Velasco Marcelo Valenzuela | |||
| 1982 | Nives Missana Alan Chacon | |||
| 1990 | Karim Strohmeier Américo Venero | |||
| 1994 | María Francesa Jimy Szymanski | Nuria Niemes Pablo Campana | Marcia Komlos Gustavo Kuerten Carla Jimenez Pablo Ugarte | |
| 2010 | Adriana Pérez Ricardo Rodríguez | Verónica Cepede Diego Galeano | ||
| 2014 | David Souto and Adriana Pérez | |||
| 2018 | Roberto Maytín Aymet Uzcátegui |