1991 Italian Open – Women's doubles

Helen Kelesi and Monica Seles were the defending champions, but chose not to participate together. Kelesi played alongside Andrea Temesvári-Trunkos, but lost in the quarterfinal to Mary Joe Fernández and Martina Navratilova.

Seles successfully defended her title, partnering Jennifer Capriati, by defeating Nicole Provis and Elna Reinach in the finals, 7–5, 6–2.

Seeds All seeds received a bye to the second round.