| Final Ranking | | time | | gap | penalties | birth | | 1. María Pérez |  Spain | 1:25:54 | SB | | | 29.04.96 | | 2. Alegna González |  Mexico | 1:26:06 | AR | 0:12 | | 02.01.99 | | 3. Nanako Fujii |  Japan | 1:26:18 | NR | 0:24 | .~ ~ | 07.05.99 | | 4. Paula Milena Torres |  Ecuador | 1:26:18 | PB | 0:24 | .~ | 17.10.00 | | 5. Kimberly García |  Peru | 1:26:22 | NR | 0:28 | | 19.10.93 | | 6. Yang Jiayu |  China | 1:27:16 | SB | 1:22 | .~ | 18.02.96 | | 7. Antía Chamosa | Spain | 1:27:55 | PB | 2:01 | | 07.10.99 | | 8. Wu Quanming | China | 1:28:08 | | 2:14 | .~ | 16.11.01 | | 9. Ma Li | China | 1:28:52 | | 2:58 | .~ | 15.01.00 | | 10.Mary Luz Andía | Peru | 1:28:52 | | 2:58 | | 09.11.00 | | 11.Pauline Stey |  France | 1:28:52 | | 2:58 | | 09.09.01 | | 12.Viviane Lyra |  Brazil | 1:29:02 | | 3:08 | .~ | 29.07.93 | | 13.Lyudmyla Olyanovska |  Ukraine | 1:29:16 | | 3:22 | | 20.02.93 | | 14.Katarzyna Zdziebło |  Poland | 1:29:31 | | 3:37 | | 28.11.96 | | 15.Alexandrina Mihai |  Italy | 1:29:44 | | 3:50 | .~ ~ | 27.05.03 | | 16.Antigoni Drisbioti |  Greece | 1:29:47 | | 3:53 | .~ > | 21.03.84 | | 17.Federica Curiazzi | Italy | 1:29:48 | | 3:54 | .~ | 14.08.92 | | 18.Kumiko Okada | Japan | 1:30:12 | | 4:18 | | 17.10.91 | | 19.Mariia Sakharuk | Ukraine | 1:30:38 | | 4:44 | .~ ~ | 14.10.95 | | 20.Magaly Bonilla | Ecuador | 1:30:39 | SB | 4:45 | .~ ~ | 08.02.92 | | 21.Rebecca Henderson |  Australia | 1:31:05 | | 5:11 | | 04.07.01 | | 22.Paula Juárez | Spain | 1:31:50 | | 5:56 | | 30.10.00 | | 23.Yasmina Toxanbayeva |  Kazakhstan | 1:31:51 | | 5:57 | | 16.11.04 | | 24.Hanna Shevchuk | Ukraine | 1:32:15 | | 6:21 | | 18.07.96 | | 25.Hana Burzalová |  Slovakia | 1:32:28 | | 6:34 | | 03.11.00 | | 26.Rachelle de Orbeta |  Puerto Rico | 1:32:47 | SB | 6:53 | | 27.03.00 | | 27.Lauren Harris |  United States | 1:32:50 | PB | 6:56 | | 23.07.99 | | 28.Vitória Oliveira |  Portugal | 1:33:02 | | 7:08 | | 30.08.92 | | 29.Clémence Beretta | France | 1:33:14 | | 7:20 | .~ | 22.12.97 | | 30.Evelyn Inga | Peru | 1:33:29 | | 7:35 | .~ ~ ~ PZ | 16.04.98 | | 31.Alejandra Ortega | Mexico | 1:34:18 | SB | 8:24 | .~ | 08.07.94 | | 32.Gabriela de Sousa | Brazil | 1:34:28 | SB | 8:34 | | 12.06.02 | | 33.Elizabeth McMillen | Australia | 1:34:58 | | 9:04 | .~ | 10.04.04 | | 34.Christina Papadopoulou | Greece | 1:35:05 | SB | 9:11 | > | 05.09.96 | | 35.Ilse Guerrero | Mexico | 1:35:20 | | 9:26 | | 24.03.93 | | 36.Tiziana Spiller |  Hungary | 1:35:32 | | 9:38 | | 23.12.02 | | 37.Ayane Yanai | Japan | 1:35:44 | | 9:50 | | 24.12.03 | | 38.Jekaterina Mirotvortseva |  Estonia | 1:36:25 | | 10:31 | | 17.11.02 | | 39.Panayiota Tsinopoulou | Greece | 1:37:40 | SB | 11:46 | .~ > ~ PZ | 16.10.90 | | 40.Lucy Mendoza |  Colombia | 1:38:05 | | 17:11 | | 22.01.99 | | 41.Laura Chalarca | Colombia | 1:42:08 | | 16:14 | | 20.06.00 | | -. Meryem Bekmez |  Turkey | | | | .~ | 31.07.00 | | -. Alexandra Griffin | Australia | DNF | | | > | 10.06.05 | | -. Sintayehu Masire |  Ethiopia | DNF | | | .~ ~ | 29.04.01 | | -. Antonella Palmisano | Italy | DNF | | | | 06.08.91 | | -. ũrica de Sena | Brazil | DNF | | | | 03.05.95 | | -. Mirna Ortiz |  Guatemala | TR54.7.5 | DQ | | .~ ~ > > | 28.12.87 | | -. Peng Li | China | TR54.7.5 | DQ | | .~ ~ ~ ~ | 27.08.02 | | -. Johana Ordóñez | Ecuador | DNS | | | | 12.12.87 |
| World Record: Yang Jiayu, China 1:23:49 Huangshan, China 20 March 2021 | | Championship Record: Olimpiada Ivanova, Russia 1:25:41 Helsinki, Finland 7 August 2005 | | World Leading: Elvira Chepareva, Russia 1:24:20 Sochi, Russia 24 February 2025 |
| Intermediate Times: | | 5km: Kimberly García (PER) 22:05 4. | | 10km: María Pérez (ESP) 43:37 1. | | 15km: María Pérez (ESP) 1:04.59 1. |
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| History Women 20km Walk | | Venue: National Stadium and streets of Tokyo. | | 49 competitors from 24 nations. | | Qualifiyng Standard: 1:29.00 | | . ~ - Red card loss of contact. | | > - Red card for bent knee. | | PZ - 3.5 min penalty zone. |
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