| Doubles | |
|---|---|
| 2019 Internazionali Femminili di Palermo | |
| Champions |  Cornelia Lister  Renata Voráčová |
| Runners-up |  Ekaterine Gorgodze  Arantxa Rus |
| Final score | 7–6(7–2), 6–2 |
Kristina Mladenovic and Katarzyna Piter were the champions the last time the tournament was held in 2013, [1] but chose not to participate this year.
Cornelia Lister and Renata Voráčová won the title, defeating Ekaterine Gorgodze and Arantxa Rus in the final, 7–6(7–2), 6–2.
Cornelia Lister / Renata Voráčová (Champions)
Georgina García Pérez / 
Fanny Stollár (First round)
Daria Gavrilova / 
Peng Shuai (Semifinals)
Giorgia Marchetti / 
Laura Pigossi (First round)| First Round | Quarterfinals | Semifinals | Final | ||||||||||||||||||||||||
| 1 | C Lister R Voráčová | 7 | 6 | ||||||||||||||||||||||||
| J Paolini S Sorribes Tormo | 4 | 2 | L Arruabarrena P Badosa | 5 | 4 | ||||||||||||||||||||||
| L Arruabarrena P Badosa | 6 | 6 | 1 | C Lister R Voráčová | 77 | 3 | [10] | ||||||||||||||||||||
| 3 | D Gavrilova S Peng | 63 | 6 | [10] | 3 | D Gavrilova S Peng | 65 | 6 | [6] | ||||||||||||||||||
 E Bogdan C Dinu | 77 | 4 | [8] | 3 | D Gavrilova S Peng | 66 | 6 | [10] | |||||||||||||||||||
| M Di Giuseppe G Gatto-Monticone | WC | E Cocciaretto F Rossi | 78 | 1 | [3] | ||||||||||||||||||||||
| WC | E Cocciaretto F Rossi | w/o | 1 | C Lister R Voráčová | 77 | 6 | |||||||||||||||||||||
A Bai  N Geuer | 6 | 3 | [10] | E Gorgodze A Rus | 62 | 2 | |||||||||||||||||||||
| G Cé PC Gonçalves | 2 | 6 | [4] | A Bai N Geuer | 6 | 4 | |||||||||||||||||||||
| A Grymalska R van der Hoek | 6 | 7 | A Grymalska R van der Hoek | 4 | 1r | ||||||||||||||||||||||
| 4 | G Marchetti L Pigossi | 4 | 5 | A Bai N Geuer | 3 | 4 | |||||||||||||||||||||
 P Thombare E Wacanno | 62 | 64 | E Gorgodze A Rus | 6 | 6 | ||||||||||||||||||||||
| E Gorgodze A Rus | 77 | 77 | E Gorgodze A Rus | 7 | 6 | ||||||||||||||||||||||
| WC | F Bilardo D Spiteri | 7 | 2 | [10] | WC | F Bilardo D Spiteri | 5 | 1 | |||||||||||||||||||
| 2 | G García Pérez F Stollár | 5 | 6 | [8] | |||||||||||||||||||||||
Renata Voráčová and Barbora Záhlavová-Strýcová were the defending champions, but they lost in the semifinals to Karolína Plíšková and Kristýna Plíšková.
Kristina Mladenovic and Katarzyna Piter won the title, defeating the Plíšková sisters in the final, 6–1, 5–7, [10–8].
Carly Gullickson and Laura Granville were the defending champions, but decided not to participate this year.
Sharon Fichman and Maria Sanchez are the defending champions, but they lost in the first round to Shuko Aoyama and Renata Voráčová.
Sara Errani and Roberta Vinci won the title, defeating Aoyama and Voráčová in the final, 6–2, 6–1.
Margarita Gasparyan and Alexandra Panova were the defending champions, but Gasparyan could not participate due to injury. Panova teamed up with Evgeniya Rodina, but they retired in the first round against Demi Schuurs and Renata Voráčová.
Monica Niculescu and Yanina Wickmayer were the defending champions, but Wickmayer chose not to participate this year. Niculescu played alongside Sania Mirza, but lost in the semifinals to Eugenie Bouchard and Sloane Stephens.
Chuang Chia-jung and Renata Voráčová were the defending champions, however Chuang chose not to participate. Voráčová partnered Xenia Knoll but lost in the quarterfinals to Ysaline Bonaventure and Sara Sorribes Tormo.
Ysaline Bonaventure and Bibiane Schoofs were the defending champions, but Bonaventure chose not to participate. Schoofs played alongside Olga Doroshina, but lost in the first round to Audrey Albié and Margot Yerolymos.
Tatjana Maria and Heather Watson were the defending champions, but only Maria chose to defend her title, partnering Christina McHale. The pair lost in the quarterfinals to Cornelia Lister and Renata Voráčová.
This was the first edition of the tournament.
Kirsten Flipkens and Elise Mertens were the defending champions, but chose not to participate.
Kaitlyn Christian and Sabrina Santamaria were the defending champions, but both players chose not to participate.
Jessica Moore and Galina Voskoboeva were the defending champions, but both players chose not to participate.
Mariana Duque Mariño and Wang Yafan were the defending champions, but Duque Mariño has since retired from professional tennis and Wang chose not to participate.
Quirine Lemoine and Arantxa Rus were the defending champions from the last time the tournament was held in 2017, but Lemoine chose not to participate this year. Rus played alongside Akgul Amanmuradova, but the pair lost in the first round to Elena Bogdan and Rosalie van der Hoek.
Alexa Guarachi and Desirae Krawczyk were the defending champions, but Krawczyk chose not to participate. Guarachi played alongside Erin Routliffe, but lost in the first round to Cornelia Lister and Renata Voráčová.
Choi Ji-hee and Han Na-lae were the defending champions, but lost in the quarterfinals to Laura Pigossi and Wang Yafan.
Alena Fomina and Valentina Ivakhnenko were the defending champions, but lost in the semifinals to Georgina García Pérez and Sara Sorribes Tormo.
Veronika Kudermetova and Galina Voskoboeva were the defending champions but chose not to participate.
Cornelia Lister and Renata Voráčová were the defending champions, but they chose not to participate.
Cornelia Lister and Renata Voráčová were the defending champions, but they chose not to participate.