Touch rugby at the 2003 South Pacific Games in Suva was held on 7–10 July 2003. Fiji won the finals of the men's and mixed tournaments to claim both gold medals on offer. Touch rugby for women was not introduced until the 2009 Pacific Mini Games held in Rarotonga.
| Men |  Fiji |  Papua New Guinea |  Niue | |
| Mixed | Fiji |  Cook Islands |  Samoa |