Synchronised swimming at the 1991 World Aquatics Championships
These are the results from the synchronised swimming competition at the 1991 World Aquatics Championships.
Medal table
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  United States (USA) | 2 | 1 | 0 | 3 |
| 2 | .svg.png.webp){kind=small} Canada (CAN) | 1 | 1 | 1 | 3 |
| 3 |  Japan (JPN) | 0 | 1 | 2 | 3 |
| Totals (3 nations) | 3 | 3 | 3 | 9 | |
Medal summary
| Event | Gold | Silver | Bronze |
| Solo routine |
Sylvie Fréchette (CAN) 201.013 |
Kristen Babb-Sprague (USA) 196.314 |
Mikako Kotani (JPN) 195.110 |
| Duet routine |
Karen Josephson (USA) Sarah Josephson (USA) 199.762 |
Mikako Kotani (JPN) Aki Takayama (JPN) 194.307 |
Lisa Alexander (CAN) Kathy Glen (CAN) 192.649 |
| Team routine |
United States Kristen Babb-Sprague Becky Dyroen Karen Josephson Sarah Josephson Jill Savery Nathalie Schneyder Heather Simmons Michelle Svitenko 196.144 |
Canada Lisa Alexander Karen Clark Charlene Davies Karen Fonteyne Kathy Glen Heather Johnston Christine Larsen Cari Read 193.259 |
Japan Hisako Aoishi Mina Enkaku Kiyoko Ishibashi Ikuko Kato Fumiko Okuno Aki Takayama Yumi Wakabayashi Chiaki Yamamura 189.753 |
Multiple medal winners
- Mikako Kotani (Japan): won 2 silver medals.
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