These are the results from the synchronised swimming competition at the 1986 World Aquatics Championships.
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Canada | 3 | 0 | 0 | 3 |
| 2 | United States | 0 | 3 | 0 | 3 |
| 3 | Japan | 0 | 0 | 2 | 2 |
| 4 | France | 0 | 0 | 1 | 1 |
| Event | Gold | Silver | Bronze |
| Solo routine |
Carolyn Waldo (CAN) 200.033 |
Sarah Josephson (USA) 194.967 |
Muriel Hermine (FRA) 188.250 |
| Duet routine |
Michelle Cameron (CAN) Carolyn Waldo (CAN) 196.267 |
Karen Josephson (USA) Sarah Josephson (USA) 193.401 |
Megumi Ito (JPN) Mikako Kotani (JPN) 185.467 |
| Team routine |
Canada (CAN) 191.000 |
United States (USA) 190.821 |
Japan (JPN) 185.763 |
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