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Date: 10 August 2008 / 11 August 2008
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Rebecca Adlington | GBR | 4:03.22 |
| 2 | Katie Hoff | USA | 4:03.29 |
| 3 | Joanne Jackson | GBR | 4:03.52 |
| 4 | Coralie Balmy | FRA | 4:03.60 |
| 5 | Federica Pellegrini | ITA | 4:04.56 |
| 6 | Camelia Potec | ROU | 4:04.66 |
| 7 | Bronte Barratt | AUS | 4:05.05 |
| 8 | Laure Manaudou | FRA | 4:11.26 |
| Heats | |||
| 9 | Otylia Jedrzejczak | POL | 4:05.50 |
| 10 | Linda MacKenzie | AUS | 4:05.91 |
| 11 | Stephanie Horner | CAN | 4:07.45 |
| 12 | Wendy Trott | RSA | 4:08.38 |
| 13 | Lotte Friis | DEN | 4:08.47 |
| 14 | Kate Ziegler | USA | 4:09.59 |
| 14 | Flavia Rigamonti | SUI | 4:09.59 |
| 16 | Joerdis Steinegger | AUT | 4:09.72 |
| 17 | Melissa Corfe | RSA | 4:10.54 |
| 18 | Gabriella Fagundez | SWE | 4:11.40 |
| 19 | Savannah King | CAN | 4:11.49 |
| 20 | Susana Escobar | MEX | 4:11.99 |
| 21 | Monique Ferreira | BRA | 4:12.21 |
| 22 | Tan Miao | CHN | 4:12.35 |
| 23 | Erika Villaecija | ESP | 4:14.25 |
| 24 | Hoi Shun Stephanie Au | HKG | 4:14.82 |
| 25 | Jaana Ehmcke | GER | 4:15.15 |
| 26 | Li Mo | CHN | 4:15.50 |
| 27 | Eleftheria Evgenia Efstathiou | GRE | 4:15.78 |
| 28 | Daria Belyakina | RUS | 4:16.21 |
| 29 | Boglarka Kapas | HUN | 4:16.22 |
| 30 | Lynette Lim | SIN | 4:17.67 |
| 31 | Ai Shibata | JPN | 4:17.96 |
| 32 | Yanel Andreina Pinto Perez | VEN | 4:18.09 |
| 33 | Nataliya Khudyakova | UKR | 4:18.34 |
| 34 | Cecilia Elizabeth Biagioli | ARG | 4:19.85 |
| 35 | Eva Lehtonen | FIN | 4:20.07 |
| 36 | Kristina Lennox-Silva | PUR | 4:20.17 |
| 37 | Lee Jieun | KOR | 4:21.53 |
| 38 | Cai Lin Khoo | MAS | 4:23.37 |
| 39 | Golda Marcus | ESA | 4:23.50 |
| 40 | Yang Chin-Kuei | TPE | 4:24.78 |
| 41 | Shrone Austin | SEY | 4:35.86 |
| Did not start | |||
| Natthanan Junkrajang | THA | ||