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Date: 21 August 2008
| Rank | Name | Nation | Time |
| 1 | Olga Kaniskina | RUS | 1:26:31 |
| 2 | Kjersti Platzer | NOR | 1:27:07 |
| 3 | Elisa Rigaudo | ITA | 1:27:12 |
| 4 | Liu Hong | CHN | 1:27:17 |
| 5 | Maria Vasco | ESP | 1:27:25 |
| 6 | Beatriz Pascual | ESP | 1:27:44 |
| 7 | Olive Loughnane | IRL | 1:27:45 |
| 8 | Ana Cabecinha | POR | 1:27:46 |
| 9 | Vera Santos | POR | 1:28:14 |
| 10 | Rita Turova | BLR | 1:28:26 |
| 11 | Tatiana Sibileva | RUS | 1:28:28 |
| 12 | Shi Na | CHN | 1:29:08 |
| 13 | Mayumi Kawasaki | JPN | 1:29:43 |
| 14 | Sabine Zimmer | GER | 1:30:19 |
| 15 | Sonata Milusauskaite | LTU | 1:30:26 |
| 16 | Vira Zozulya | UKR | 1:30:31 |
| 17 | Maria Jose Poves | ESP | 1:30:52 |
| 18 | Kristina Saltanovic | LTU | 1:31:03 |
| 19 | Jane Saville | AUS | 1:31:17 |
| 20 | Sylwia Korzeniowska | POL | 1:31:19 |
| 21 | Johanna Jackson | GBR | 1:31:33 |
| 22 | Melanie Seeger | GER | 1:31:56 |
| 23 | Ana Maria Groza | ROU | 1:32:16 |
| 24 | Evaggelia Xinou | GRE | 1:32:19 |
| 25 | Sachiko Konishi | JPN | 1:32:21 |
| 26 | Zuzana Schindlerova | CZE | 1:32:57 |
| 27 | Claire Woods | AUS | 1:33:02 |
| 28 | Kim Mi Jeong | KOR | 1:33:55 |
| 29 | Svetlana Tolstaya | KAZ | 1:34:03 |
| 30 | Joanne Dow | USA | 1:34:15 |
| 31 | Zuzana Malikova | SVK | 1:34:33 |
| 32 | Sniazhana Yurchanka | BLR | 1:35:33 |
| 33 | Nadiya Borovska-Prokopuk | UKR | 1:35:50 |
| 34 | Sandra Zapata | COL | 1:36:18 |
| 35 | Johana Ordonez | ECU | 1:36:26 |
| 36 | Tania Spindler | BRA | 1:36:46 |
| 37 | Veronica Colindres | ESA | 1:36:52 |
| 38 | Edina Fusti | HUN | 1:37:03 |
| 39 | Kellie Wapshott | AUS | 1:37:59 |
| 40 | Despina Zapounidou | GRE | 1:39:11 |
| 41 | Jolanta Dukure | LAT | 1:41:03 |
| 42 | Evelyn Nunez | GUA | 1:44:13 |
| Did not finish | |||
| Susana Feitor | POR | ||
| Yu Fang Yuan | MAS | ||
| Disqualified | |||
| Athanasia Tsoumeleka | GRE | 1:27:54 | |
| Yelena Ginko | BLR | ||
| Tatyana Kalmykova | RUS | ||
| Yang Mingxia | CHN | ||