The United States won the most number of medals in the 2019 Pan American U20 Athletics Championships, the 20th edition of the biennial track and field competition for under-20 athletes from the Americas, organised by the Association of Panamerican Athletics.
The 2019 Pan American U20 Athletics Championships is the 20th edition of the biennial track and field competition for under-20 athletes from the Americas, organised by the Association of Panamerican Athletics. 1 50 
