Medalists
| Gold | Silver | Bronze |
Ana Paola Villegas  Colombia | Rosane Kirch  Brazil | María Luisa Calle Colombia |
The Women's Road Race event at the 2010 South American Games was held at 9:00 on March 22.
| Gold | Silver | Bronze |
| Ana Paola Villegas Colombia | Rosane Kirch Brazil | María Luisa Calle Colombia |
Race distance: 73.2 km
| Rank | Rider | Time | Time Behind | Speed |
|---|---|---|---|---|
 | Ana Paola Villegas (COL) | 2:10:57 | 33.539 | |
 | Rosane Kirch (BRA) | 2:14:03 | +3:06 | |
 | María Luisa Calle (COL) | 2:15:09 | +4:12 | |
| 4 | Sérika Gulumá Ortiz (COL) | 2:16:50 | +5:53 | |
| 5 | Marcia Silva (BRA) | 2:23:40 | +12:43 | |
| 6 | Leidy Natalia Ruiz (COL) | s.t. | ||
| 7 |  Paula Andrea Grandon (CHI) | 2:25:53 | +14:56 | |
| 8 | Uênia Souza (BRA) | s.t. | ||
| 9 | Lorena Maria Villamil (COL) | s.t. | ||
| 10 |  Maria Eugenia Constante (ECU) | s.t. | ||
| 11 |  Myrsa Analia Gaona (PAR) | 2:28:56 | +17:59 | |
| 12 | Flor Palma dos Santos (CHI) | 2:29:02 | +18:05 | |
| 13 | Barbara Cecilia Iturbe (CHI) | s.t. | ||
| 14 | Consuelo Gwynne Rodríguez (CHI) | s.t. | ||
| 15 | Claudia Aravena Cortes (CHI) | s.t. | ||
| 16 |  Valeria Escobar (BOL) | 2:35:22 | +24:25 | |
| 17 |  Tania Castro (ARG) | 2:36:13 | +25:26 | |
| Talia Ayelen Aguirre (ARG) | DNF | LAP | ||
| Caterine Priviley (ARG) | DNF | LAP | ||
| Valeria Pintos (ARG) | DNF | LAP | ||
| Olga Elena Muñoz (CHI) | DNF | |||
| Janildes Silva (BRA) | DNF | |||
| Valeria Teresita Müller (ARG) | DNF | |||
| Daiana Almada (ARG) | DNF | |||
| Daniela Mishell Carvajal (ECU) | DNS | |||
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