| Venue: Makuhari Messe Hall A |
| Final | | Match | Wrestler 1 | score | Wrestler 2 | time | | 329 | Mayu Mukaida |  Japan | 5-4 (VPO1 3-1) | Pang Qianyu |  China | |
| Match | Wrestler 1 | score | Wrestler 2 | time | | 327 | Jacarra Gwenisha Winchester |  United States | 0-4 (VFA 0-5) | Vanesa Kaladzinskaya |  Belarus | 02:09 | | 328 | Joseph Emilienne Essombe Tiako |  Cameroon | 4-14 (VSU1 1-4) | Bolortuya Bat Ochir |  Mongolia | 02:37 | | 287 | Laura Herin Avila |  Cuba | 0-5 (VPO 0-3) | Jacarra Gwenisha Winchester | United States | | | 288 | Joseph Emilienne Essombe Tiako | Cameroon | 4-4 (VPO1 3-1) | Roksana Marta Zasina |  Poland | |
| Match | Wrestler 1 | score | Wrestler 2 | time | | 262 | Vanesa Kaladzinskaya | Belarus | 2-2 (VPO1 1-3) | Pang Qianyu | China | | | 263 | Bolortuya Bat Ochir | Mongolia | 3-6 (VPO1 1-3) | Mayu Mukaida | Japan | |
| Match | Wrestler 1 | score | Wrestler 2 | time | | 240 | Vinesh Vinesh |  India | 3-9 (VFA 0-5) | Vanesa Kaladzinskaya | Belarus | 05:25 | | 241 | Jacarra Gwenisha Winchester | United States | 2-6 (VPO1 1-3) | Pang Qianyu | China | | | 242 | Luisa Elizabeth Valverde Melendres |  Ecuador | 5-15 (VSU1 1-5) | Bat Ochir | Mongolia | 03:00 | | 243 | Mayu Mukaida | Japan | 12-2 (VSU1 4-1) | Roksana Marta Zasina | Poland | 03:00 |
| Match | Wrestler 1 | score | Wrestler 2 | time | | 232 | Vinesh Vinesh | India | 7-1 (VPO1 3-1) | Sofia Magdalena Mattsson |  Sweden | | | 233 | Vanesa Kaladzinskaya | Belarus | 10-0 (VSU 4-0) | Andreea Beatrice Ana |  Romania | 02:48 | | 234 | Olga Khoroshavtseva |  ROC | 4-7 (VPO1 1-3) | Jacarra Gwenisha Winchester | United States | | | 235 | Laura Herin Avila | Cuba | 0-2 (VPO 0-3) | Pang Qianyu | China | | | 236 | Luisa Elizabeth Valverde Melendres | Ecuador | 11-4 (VPO1 3-1) | Maria Prevolaraki |  Greece | | | 237 | Bolortuya Bat Ochir | Mongolia | 4-0 (VFA 5-0) | Rckaela Maree Ramos Aquino |  Guam | 00:54 | | 238 | Tatyana Akhmetova |  Kazakhstan | 2-3 (VPO1 1-3) | Roksana Marta Zasina | Poland | | | 239 | Joseph Emilienne Essombe Tiako | Cameroon | 0-10 (VSU 0-4) | MukaidaMayu | Japan | 02:08 |
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| Final Ranking | CP | VF | VS | TP | TPg | Sd | | | 1. Mayu Mukaida | Japan | 14 | 0 | 2 | 33: | 9 | S2 | | 2. Qianyu Pang | China | 10 | 0 | 0 | 14: | 9 | S4 | | 3. Vanesa Kaladzinskaya | Belarus | 15 | 2 | 1 | 25: | 5 | 97 | | 3. Bolortuya Bat Ochir | Mongolia | 14 | 1 | 2 | 36: | 15 | 178 | | 5. Jacarra Gwenisha Winchester | United States | 7 | 0 | 0 | 14: | 14 | 120 | | 5. Joseph Emilienne Essombe Tiako | Cameroon | 4 | 0 | 0 | 8: | 28 | 240 | | 7. Roksana Marta Zasina | Poland | 5 | 0 | 0 | 9: | 18 | 236 | | 8. Luisa Elizabeth Valverde Melendres | Ecuador | 4 | 0 | 0 | 16: | 19 | S3 | | 9. Vinesh Vinesh | India | 3 | 0 | 0 | 10: | 10 | S1 | | 10.Olga Khoroshavtseva | ROC | 1 | 0 | 0 | 4: | 7 | 116 | | 11.Maria Prevolaraki | Greece | 1 | 0 | 0 | 4: | 11 | 172 | | 12.Tatyana Akhmetova | Kazakhstan | 1 | 0 | 0 | 2: | 3 | 215 | | 13.Sofia Magdalena Mattsson | Sweden | 1 | 0 | 0 | 1: | 7 | 9 | | 14.Rckaela Maree Ramos Aquino | Guam | 0 | 0 | 0 | 0: | 4 | 182 | | 15.Laura Herin Avila | Cuba | 0 | 0 | 0 | 0: | 7 | 130 | | 16.Andreea Beatrice Ana | Romania | 0 | 0 | 0 | 0: | 10 | 100 |
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| CP - Classification points | | VF - Victory by Fall. | | VS - Victory by technical superiority. | | TP - Technical points obtained. | | TPg - Technical points given. |
| The classification points determine the rank of wrestlers from seventh place. In case of a tie, ties will be broken using the following criteria: | | 1. The most victories by "fall" | | 2. The most match wins by superiority | | 3. The most technical points scored in the whole competition | | 4. The fewest technical points given in the whole competition | | 5. The lowest seed number (if applicable) | | 6. The lowest draw number |
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Qualfification 16+2? wrestlers | | Quotas per NOC, not personal |
| World - 8 quotas | | World 2019/Women Freestyle 53kg - First 6 | | 1. Yong Mi Pak |  PRK | | 2. Mayu Mukaida |  JPN | | 3. Qianyu Pang |  CHN | | 3. Vinesh Vinesh |  IND | | 5. Roksana Marta Zasina |  POL | | 5. Maria Prevolaraki |  GRE |
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| Continental - 8 quotas | | African and Ocean Qualification - 2 quotas 13-15.03.2020 | | Pan American Qualification - 2 quotas 13-15.03.2020 | | European Qualification - 2 quotas 19-22.03.2020 | | Asian Qualification - 2 quotas 27-29.03.2020 |
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Two places reserved for the host nation Japan will be awarded at the Asian Continental Qualification Tournament, in case that Japan has not earned qualification spots at juncture. Each NOC can only send one wrestler per weight class and cannot participate in further pre-Olympic tournaments after qualifying in its respective division.
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