2003 Italian Open – Women's doubles

Virginia Ruano Pascual and Paola Suárez were the defending champions, but lost in quarterfinals to Els Callens and Émilie Loit.

Svetlana Kuznetsova and Martina Navratilova won the title, defeating Jelena Dokic and Nadia Petrova 6–4, 5–7, 6–2 in the final. It was the 6th doubles title for Kuznetsova and the 170th doubles title for Navratilova, in their respective careers.

Seeds
The first four seeds received a bye into the second round. • # 🇪🇸 Virginia Ruano Pascual / 🇦🇷 Paola Suárez (quarterfinals)

• # 🇧🇪 Kim Clijsters / 🇯🇵 Ai Sugiyama (withdrew due to a left hamstring strain on Clijsters)

• # Cara Black / 🇷🇺 Elena Likhovtseva (second round)

• # Jelena Dokic / 🇷🇺 Nadia Petrova (final)

• # 🇷🇺 Svetlana Kuznetsova / 🇺🇸 Martina Navratilova (champions)

• # 🇪🇸 Conchita Martínez / 🇺🇸 Meghann Shaughnessy (withdrew due to a low back pain on Shaughnessy)

• # 🇸🇰 Janette Husárová / Patty Schnyder (first round)

• # Emmanuelle Gagliardi / 🇭🇺 Petra Mandula (quarterfinals)