 | |
| Host |  Guernsey |
|---|---|
| Teams | 23 islands |
| Athletes | 2129 |
| Events | 16 |
| Opening | 28 June 2003 |
| Closing | 4 July 2003 |
| Opened by | Charles, Prince of Wales |
| Main venue | Footes Lane |
The 2003 Island Games were the tenth edition of the Island Games, and were held in Guernsey, from 28 June to July 4, 2003.
* Host nation (Guernsey)
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Guernsey* | 55 | 35 | 38 | 128 |
| 2 |  Jersey | 37 | 43 | 35 | 115 |
| 3 |  Isle of Man | 29 | 28 | 31 | 88 |
| 4 |  Bermuda | 15 | 14 | 8 | 37 |
| 5 |  Gotland | 11 | 12 | 9 | 32 |
| 6 |  Cayman Islands | 11 | 10 | 8 | 29 |
| 7 |  Isle of Wight | 10 | 10 | 19 | 39 |
| 8 |  Faroe Islands | 6 | 10 | 12 | 28 |
| 9 |  Åland | 4 | 13 | 4 | 21 |
| 10 |  Saaremaa | 4 | 7 | 9 | 20 |
| 11 |  Gibraltar | 4 | 6 | 8 | 18 |
| 12 |  Shetland | 4 | 3 | 9 | 16 |
| 13 |  Ynys Môn/Anglesey | 3 | 0 | 3 | 6 |
| 14 |  Rhodes | 2 | 3 | 4 | 9 |
| 15 |  Greenland | 2 | 1 | 5 | 8 |
| 16 |  Sark | 0 | 2 | 0 | 2 |
| 17 |  Falkland Islands | 0 | 1 | 2 | 3 |
| 18 |  Orkney Islands | 0 | 0 | 1 | 1 |
| 19 |  Alderney | 0 | 0 | 0 | 0 |
 Frøya | 0 | 0 | 0 | 0 | |
 Hitra | 0 | 0 | 0 | 0 | |
 Prince Edward Island | 0 | 0 | 0 | 0 | |
 Saint Helena | 0 | 0 | 0 | 0 | |
| Totals (23 entries) | 197 | 198 | 205 | 600 | |
The sports chosen for the games were:
Football (2) ()
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