1978 U.S. Clay Court Championships – Women's doubles

Linky Boshoff and Ilana Kloss were the defending champions but did not participate due to Boshoff's retirement and Kloss' return to World TeamTennis. Helena Anliot and Helle Sparre-Viragh won the title after defeating Barbara Hallquist and Sheila McInerney in the final.

Seeds
A champion seed is indicated in bold text while text in italics indicates the round in which that seed was eliminated.

• # Mima Jaušovec / 🇷🇴 Virginia Ruzici (quarterfinals)

• #🇺🇸 Laura duPont / 🇺🇸 Sharon Walsh (first round)

• #🇦🇺 Chris O'Neil / 🇦🇺 Pam Whytcross (first round)

• #🇺🇸 Kathy May / 🇺🇸 Betsy Nagelsen (semifinals)