2019 Mutua Madrid Open – Women's doubles

Ekaterina Makarova and Elena Vesnina were the defending champions, but chose not to participate this year.

Hsieh Su-wei and Barbora Strýcová won the title, defeating Gabriela Dabrowski and Xu Yifan in the final, 6–3, 6–1.

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

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

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

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

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

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

• # Chan Hao-ching /  Latisha Chan (first round)

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