Course layout

The final length came to differ between each round. Fourth round length is shown.^[1]

Exempt from qualifying

Many players were exempt in multiple categories. Players are listed only once, in the first category in which they became exempt.^{[lower-alpha 1][lower-alpha 2][3]}

1. Winner of the 2018 U.S. Senior Women's Open Championship

2. From the 2018 U.S. Senior Women's Open Championship, the 20 lowest scorers and anyone tying for 20th place

• Rosie Jones did not play.

3. From the 2018 U.S. Senior Women's Open Championship, the amateur returning the lowest 72-hole score

4. Winners of the U.S. Women's Open Championship who reached their 50th birthday on or before May 16, 2019 (ten year exemption^{[lower-alpha 3]})

• Janet Alex Anderson, Kathy Baker Guadagnino, Susie Berning, Pat Bradley, Murie Breer Lindstrom, Jerilyn Britz, Donna Caponi, Kathy Cornelius, Sandra Haynie, Betsy King, Catherine Lacoste, Meg Mallon, Laurie Merten, Alison Nicholas, Sandra Palmer, Betsy Rawls, Patty Sheehan and Mickey Wright did not play.

5. Any professional or applicant for reinstatement who has won the U.S. Women's Amateur Championship (three year exemption^{[lower-alpha 3]})

• Jean Ashley Crawford, Beth Daniel, Mary Lou Dill, Cindy Hill, Donna Horton White, Deb Richard, Cathy Sherk and Pearl Sinn did not play.

6. Winners of the U.S. Women's Amateur Championship who reached their 50th birthday on or before May 16, 2019 (must be an amateur) (five year exemption^{[lower-alpha 3]})

• Mary Budke, Martha Kirouac, Patricia Lesser Harbottle, Barbara McIntire, Anne Quast Sander, Marlene Stewart Streit, and Carol Semple Thompson did not play.

7. Winners of the following events when deemed a major* by the LPGA Tour and who reached their 50th birthday on or before May 16, 2019. ANA Inspiration (1983-present), Evian Championship (2013–present), AIG Women's British Open (2019-), Ricoh Women's British Open (2001–2018), du Maurier Classic (1979-2000), KPMG Women's PGA Championship (1955-present), Titleholders Championship (1946. 1966 & 1972) or Western Open (1930-1967) (ten year exemption^{[lower-alpha 3]})

• Jody Rosenthal Anschutz, Betty Burfeindt, Gloria Ehret, Shirley Englehorn, Marlene Hagge, Chako Higuchi, Judy Kimball Simon, Nancy Lopez, Mary Mills, Pat O'Sullivan Lucey, Dottie Pepper, Sandra Post, Kelly Robbins, Marilynn Smith, Sherri Steinhauer, Sherri Turner, Kathy Whitworth, and Joyce Ziske did not play.

8. From the final 2018 LPGA Tour all-time money list, age-eligible players from the top 150 or money leaders and ties

9. Winners of the LPGA Teaching & Club Professional Championship (Championship Division) the last five years (2014-2018) and the five lowest scorers and ties from the most recent Championship (2018)

10. From the 2018 LPGA Teaching & Club Professional Championship (Senior Division), the three lowest scorers and ties

11. Winners of LPGA Tour co-sponsored events, whose victories are considered official, in the last five calendar years (2014-2018) and during the current calendar year to the initiation of the 2019 U.S. Senior Women's Open Championship

12. From the 2018 final official Ladies European Tour and LPGA of Japan Tour Career Money lists, the top five money leaders

13. Playing members of the five most current United States and European Solheim Cup Teams

14. From the 2018 Senior LPGA Championship, the 10 lowest scorers and anyone tying for 10th place

15. Winners and runners-up of the Senior LPGA Championship the last two years (2017-2018)

16. From the final 2017 and 2018 official Legends Tour Performance Points list, the top 30 point leaders and ties

17. Winners of the Legends Tour co-sponsored events, excluding team events, whose victories are considered official, in the last two calendar years (2017 & 2018) and during the current calendar year to the initiation of the current year's U.S. Senior Women's Open Championship

18. Winners of the U.S. Senior Women's Amateur Championship the last two years (2017 & 2018) and the 2018 runner-up (must be an amateur)

19. Winners of the 2017 and 2018 U.S. Women's Mid-Amateur Championship (must be an amateur)

20. Playing members of the two most current United States and Great Britain & Ireland Curtis Cup Teams and the two most current United States Women's World Amateur Teams (must be an amateur)

21. Winners of the 2018 R&A Women's Senior Amateur and Canadian Women's Senior Amateur Championships (must be an amateur)

22. Special exemptions as selected by the USGA

Qualifiers

Additional players qualified through sectional qualifying tournaments, which took place from April 17 to 30, 2019, at 17 different sites across the United States.^[4]

Final leaderboard

Sunday, May 19, 2019

Place	Player	Score	To par	Money (US$)
1	Helen Alfredsson	75-69-69-72=285	+1	180,000
2	Juli Inkster	78-68-71-70=287	+3	88,423
	Trish Johnson	75-72-66-74=287
4	Jane Crafter	76-71-72-70=289	+5	43,885
	Michele Redman	77-72-72-68=289
6	Nanci Bowen	73-75-70-72=290	+6	35,269
T7	Danielle Ammaccapane	72-75-72-72=291	+7	30,281
	Barbara Moxness	73-74-74-70=291
T9	Laura Davies	75-70-74-73=292	+8	24,789
	Lisa DePaulo	74-72-74-72=292

Sources:^{[5][6][7][8][9][10]}