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Date: 10 August 2008
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Inge Dekker; Ranomi Kromowidjojo; Femke Heemskerk; Marleen Veldhuis | NED | 3:33.76 |
| 2 | Natalie Coughlin; Lacey Nymeyer; Kara Lynn Joyce; Dara Torres | USA | 3:34.33 |
| 3 | Cate Campbell; Alice Mills; Melanie Schlanger; Lisbeth Trickett | AUS | 3:35.05 |
| 4 | Zhu Yingwen; Tang Yi; Xu Yanwei; Pang Jiaying | CHN | 3:35.64 |
| 5 | Britta Steffen; Meike Freitag; Daniela Gotz; Antje Buschschulte | GER | 3:36.85 |
| 6 | Celine Couderc; Alena Popchanka; Ophelie-Cyrielle Etienne; Malia Metella | FRA | 3:37.68 |
| 7 | Francesca Halsall; Caitlin McClatchey; Jessica Sylvester; Melanie Marshall | GBR | 3:38.18 |
| 8 | Julia Wilkinson; Erica Morningstar; Genevieve Saumur; Audrey Lacroix | CAN | 3:38.32 |