| Host city | Dushanbe, Tajikistan | 
|---|---|
| Nations | 5 | 
| Opened by | Emomali Rahmon | 
The 2003 Central Asian Games also known as the 5th Central Asian Games were held in Dushanbe, Tajikistan in 2003. [1]
 Athletics  ()
  Athletics  () Basketball  ()  (men, women)
  Basketball  ()  (men, women) Boxing  ()
  Boxing  () Judo  ()
  Judo  () Shooting  ()
  Shooting  () Taekwondo  ()
  Taekwondo  () Tennis  ()
  Tennis  () Volleyball  ()  (men)
  Volleyball  ()  (men) Wrestling  ()  (freestyle, Greco-Roman)
  Wrestling  ()  (freestyle, Greco-Roman)* Host nation (Tajikistan)
| Rank | Nation | Gold | Silver | Bronze | Total | 
|---|---|---|---|---|---|
| 1 |  Kazakhstan  (KAZ) | 48 | 32 | 31 | 111 | 
| 2 |  Uzbekistan  (UZB) | 36 | 35 | 20 | 91 | 
| 3 |  Tajikistan  (TJK)* | 18 | 22 | 17 | 57 | 
| 4 |  Kyrgyzstan  (KGZ) | 5 | 14 | 42 | 61 | 
| 5 |  Turkmenistan  (TKM) | 0 | 5 | 17 | 22 | 
| Totals (5 entries) | 107 | 108 | 127 | 342 | |