In November 1999 the first edition of the Parapan American Games was held in Mexico City, Mexico. A total of 1,000 athletes from 18 countries competed across four sports: athletics, swimming, table tennis and wheelchair basketball. Gold medal-winners at the Parapan American Games Mexico City 1999 secured a place at the Paralympic Games Sydney 2000.

Since 1999, the Parapan American Games have taken place every four years. However, it was not until 2007 that the Parapan American Games were staged in the same city as the Pan American Games. Now, the Parapan American Games take place shortly after the conclusion of the Pan American Games.

Past Games

Year  Host City  Disciplines Nations  Athletes 
I 1999 Mexico City, Mexico 4 18 1,000
II 2003 Mar de Plata, Argentina 9 28 1,500
2007 Rio de Janeiro, Brazil 10 25 1,150
IV 2011 Guadalajara, Mexico 13 26 1,300
V 2015 Toronto, Canada 15 28 1,600
VI 2019 Lima, Peru 18 33