2019 Italian Open – Women's doubles

Ashleigh Barty and Demi Schuurs were the defending champions, but chose not to participate together. Barty played alongside Victoria Azarenka and successfully defended the title, defeating Schuurs and Anna-Lena Grönefeld in the final, 4–6, 6–0, [10–3].

Seeds
The top four seeds received a bye into the second round. • # 🇨🇿 Barbora Krejčíková / 🇨🇿 Kateřina Siniaková (semifinals)

• # 🇺🇸 Nicole Melichar / 🇨🇿 Květa Peschke (second round)

• # 🇦🇺 Samantha Stosur / 🇨🇳 Zhang Shuai (quarterfinals)

• # 🇧🇪 Elise Mertens / 🇧🇾 Aryna Sabalenka (second round)

• # Hsieh Su-wei / 🇨🇿 Barbora Strýcová (second round)

• # 🇨🇦 Gabriela Dabrowski / 🇨🇳 Xu Yifan (second round)

• # Chan Hao-ching /  Latisha Chan (semifinals)

• # 🇩🇪 Anna-Lena Grönefeld / Demi Schuurs (final)