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Date: 26 September 1988 / 30 September 1988
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Olga Bondarenko | URS | 31:05.21 |
| 2 | Liz McColgan | GBR | 31:08.44 |
| 3 | Elena Joupieva | URS | 31:19.82 |
| 4 | Kathrin Ullrich | GDR | 31:29.27 |
| 5 | Francie Larrieu-Smith | USA | 31:35.52 |
| 6 | Lynn Jennings | USA | 31:39.93 |
| 7 | Wang Qinghuan | CHN | 31:40.23 |
| 8 | Susan Lee | CAN | 31:50.51 |
| 9 | Albertina Machado | POR | 32:02.13 |
| 10 | Albertina Dias | POR | 32:07.13 |
| 11 | Anne Audain | NZL | 32:10.47 |
| 12 | Lioudmila Matveeva | URS | 32:12.27 |
| 13 | Nancy Tinari | CAN | 32:14.05 |
| 14 | Rosanna Munerotto | ITA | 32:29.84 |
| 15 | Lynn Nelson | USA | 32:32.24 |
| 16 | Carole Rouillard | CAN | 32:41.43 |
| 17 | Carolyn Schuwalow | AUS | 32:45.07 |
| 18 | Wang Xiuting | CHN | 32:49.86 |
| 19 | Annette Sergent | FRA | 33:17.38 |
| 20 | Ingrid Kristiansen | NOR | |
| Heats | |||
| 21 | Marleen Renders | BEL | 32:11.49 |
| 22 | Akemi Matsuno | JPN | 32:19.57 |
| 23 | Christine McMiken | NZL | 32:20.39 |
| 24 | Martine Bouchonneau-Oppliger | SUI | 32:28.26 |
| 25 | Ana Isabel Alonso | ESP | 32:40.50 |
| 26 | Jane Shields | GBR | 32:46.07 |
| 27 | Andri Avraam | CYP | 32:59.30 |
| 28 | Elhassania Darami | MAR | 33:01.52 |
| 29 | Angela Tooby | GBR | 33:26.57 |
| 30 | Xie Lihua | CHN | 33:28.13 |
| 31 | Jacqueline Perkins | AUS | 33:45.22 |
| 32 | Chung Mi-Ja | KOR | 33:48.96 |
| 33 | Lieve Siegers | BEL | 33:51.36 |
| Did not finish | |||
| Erika Fazekas | HUN | ||
| Did not start | |||
| Ludmila Melicherova | TCH | ||
| Kerstin Pressler | FRG | ||
| Daniele Kaber | LUX | ||
| Mar Mar Min | MYA | ||
| Paivi Tikkanen | FIN | ||
| Wanda Panfil | POL | ||
| Maryse Justin | MRI | ||
| Tuija Jousimaa | FIN | ||