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The first stage of the 19th unified local elections (第19回統一地方選挙) in Japan took place on April 7, 2019.

Gubernatorial elections

 * Hokkaido: Incumbent Naomichi Suzuki LDP-supported independent
 * Kanagawa Prefecture: Yuji Kuroiwa (LDP/NKP/DPJ) re-elected
 * Fukui Prefecture: Incumbent Tatsuji Sugimoto (LDP/ORA)
 * Mie Prefecture: Eikei Suzuki (LDP/NKP) re-elected
 * Osaka Prefecture: Incumbent Hirofumi Yoshimura (ORA) former Osaka Mayor
 * Nara Prefecture: Shōgo Arai (LDP/NKP/DPJ) re-elected
 * Tottori Prefecture: Shinji Hirai (LDP/NKP/DPJ) re-elected
 * Shimane Prefecture: Incumbent Tatsuya Maruyama former Director General of the Fire Department Ministry of Internal Affairs and Communications
 * Tokushima Prefecture: Kamon Iizumi (LDP/NKP/DPJ) re-elected
 * Fukuoka Prefecture: Hiroshi Ogawa (LDP/NKP/DPJ/SDP) re-elected
 * Oita Prefecture: Incumbent Katsusada Hirose (LDP/NKP)

Mayoral elections

 * Sapporo: Katsuhiro Akimoto (DPJ/JIP/SDP) re-elected
 * Sagamihara: Incumbent Kentarou Motomura
 * Shizuoka: Nobuhiro Tanabe (LDP/NKP/DPJ) re-elected
 * Hamamatsu: Yasutomo Suzuki (independent) re-elected
 * Osaka: Incumbent Ichiro Matsui (ORA) former Governor of Osaka Prefecture
 * Hiroshima: Kazumi Matsui (LDP/NKP/DPJ) re-elected

Assembly elections

 * One trans woman was elected to prefecture assemblies: Ayako Fuchigami of Hokkaido.