All-time medal since 1973
editUpdated after the 1991 World Aquatics Championships:
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  United States |
93 | 73 | 53 | 219 |
| 2 |  East Germany |
51 | 44 | 27 | 122 |
| 3 |  Soviet Union |
16 | 28 | 28 | 72 |
| 4 |  Hungary |
13 | 7 | 5 | 25 |
| 5 |  Canada |
12 | 16 | 13 | 41 |
| 6 |  China |
10 | 7 | 5 | 22 |
| 7 |  Australia |
8 | 10 | 4 | 22 |
| 8 |  West Germany |
8 | 7 | 12 | 27 |
| 9 |  Italy |
5 | 7 | 10 | 22 |
| 10 | Germany |
4 | 9 | 9 | 22 |
| 11 |  Netherlands |
3 | 6 | 11 | 20 |
| 12 |  Great Britain |
3 | 3 | 11 | 17 |
| 13 |  Sweden |
2 | 2 | 7 | 11 |
| 14 |  Yugoslavia |
2 | 1 | 3 | 6 |
| 15 |  Spain |
1 | 1 | 1 | 3 |
| 16 |  Romania |
1 | 0 | 2 | 3 |
| 17 |  Brazil |
1 | 0 | 1 | 2 |
| 18 |  Suriname |
1 | 0 | 0 | 1 |
| 19 |  Japan |
0 | 5 | 18 | 23 |
| 20 |  France |
0 | 4 | 2 | 6 |
| 21 |  New Zealand |
0 | 2 | 0 | 2 |
| 22 |  Bulgaria |
0 | 1 | 1 | 2 |
| 22 |  Switzerland |
0 | 1 | 1 | 2 |
| 22 |  Czechoslovakia |
0 | 1 | 1 | 2 |
| 25 |  Norway |
0 | 1 | 0 | 1 |
| 26 |  Denmark |
0 | 0 | 4 | 4 |
| 27 |  Poland |
0 | 0 | 2 | 2 |
| 28 |  Mexico |
0 | 0 | 1 | 1 |
| Total | 234 | 236 | 232 | 702 | |