See main article: 2003 Internazionali Femminili di Palermo.
Evgenia Kulikovskaya and Ekaterina Sysoeva were the defending champions, but Sysoeva did not compete this year. Kulikovskaya teamed up with Dinara Safina and lost in the quarterfinals to Li Ting and Sun Tiantian.
Wildcards Adriana Serra Zanetti and Emily Stellato won the title by defeating María José Martínez Sánchez and Arantxa Parra Santonja 6–4, 6–2 in the final.[1]