| Noc: | PAR |
| Nocname: | Comité Olímpico Paraguayo |
| Games: | Pan American Games |
| Gold: | 2 |
| Silver: | 5 |
| Bronze: | 15 |
| Rank: | 26 |
Paraguay has sent athletes to all editions of the games, except in two editions: 1959 and 1963. Paraguayan athletes have won 2 gold medals, 5 silver and 15 bronze and 22 overall counting the 2023 Panamerican Games in Santiago.
Paraguay is expected to host the upcoming II Junior Pan American Games:
| Year | Edition | Host city | Rank | Gold | Silver | Bronze | Total | |
|---|---|---|---|---|---|---|---|---|
| — | ||||||||
| — | ||||||||
| Did not participate | ||||||||
| Did not participate | ||||||||
| — | ||||||||
| — | ||||||||
| — | ||||||||
| — | ||||||||
| — | ||||||||
| 23rd | ||||||||
| — | ||||||||
| 21st | ||||||||
| — | ||||||||
| — | ||||||||
| 25th | ||||||||
| 25th | ||||||||
| 18th | ||||||||
| 18th | ||||||||
| XVIX[1] | 21st | |||||||
| Total | 26th | |||||||
| Year | Edition | Host city | Rank | Gold | Silver | Bronze | Total | |
|---|---|---|---|---|---|---|---|---|
| 15th | 2 | 4 | 4 | 10 | ||||
| Future event | ||||||||
| Total | 15th | 2 | 4 | 4 | 10 | |||