And with the closing of the pool portion of the 2010 Pan-Pacific Championships, Team USA dominated the medal standings, as many expected. The Americans won 53 out of a maximum 74 medals possible, proving their utter domination of the meet. Most specifically, Team USA scored 26 out of the 40 gold medals that were awarded, for an incredible 65% win rate.
This matches, exactly, their gold medal total from the 2006 Pan Pacs, and exceeds the total medal count by 5, although that meet had 4 fewer events.
Australia took second in the medal count, including 6 golds. This marks the second straight Pan-Pacs, however, where the Australian men have failed to win a single gold medal. The last time the Aussie men took Pan-Pac gold was in 2002, where they took 7, including 2 relays.
The 10 medaling nations sets a Pan-Pac record for the most medal-winning countries at a Pan-Pac Championship, besting the 8 that took home hardware in 2006.
*Note: These medal counts do not match announced official medal counts, as by agreement of the founding nations (USA, Australia, Japan, and Canada), the 50 breastsroke, butterfly, and backstroke races would not count in official scoring. These events are not typically swum at Pan-Pacs, but were added to the schedule as many nations are using the meet as trials for other meets, including the World Championships.
| Golds | Silvers | Bronze | Total | |
| USA | 26 | 17 | 10 | 53 |
| Australia | 6 | 15 | 10 | 31 |
| Japan | 3 | 5 | 5 | 13 |
| Canada | 2 | 2 | 6 | 10 |
| Brazil | 2 | 2 | 4 | 8 |
| South Korea | 1 | 1 | 0 | 2 |
| South Africa | 0 | 0 | 2 | 2 |
| China | 0 | 0 | 2 | 2 |
| New Zealand | 0 | 0 | 1 | 1 |
| Chile | 0 | 0 | 1 | 1 |