1990 Italian Open – Women's doubles

Elizabeth Smylie and Janine Thompson were the defending champions, but Smylie did not compete this year. Thompson teamed up with Jenny Byrne and lost in the first round to Claudia Kohde-Kilsch and Brenda Schultz.

Helen Kelesi and Monica Seles won the title by defeating Laura Garrone and Laura Golarsa 6–3, 6–4 in the final.

Seeds
The first four seeds received a bye to the second round. • # 🇺🇸 Katrina Adams / 🇺🇸 Lori McNeil (semifinals)

• # Manon Bollegraf / 🇦🇷 Mercedes Paz (second round)

• # 🇦🇺 Nicole Provis / Elna Reinach (quarterfinals)

• # Natalia Medvedeva /  Leila Meskhi (quarterfinals)

• # 🇮🇹 Sandra Cecchini / 🇦🇷 Patricia Tarabini (first round)

• # Manuela Maleeva-Fragnière /  Larisa Savchenko (semifinals)

• # 🇫🇷 Nathalie Tauziat / 🇦🇹 Judith Wiesner (first round)

• # 🇦🇺 Jenny Byrne / 🇦🇺 Janine Thompson (first round)