All-time medal since 1973

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Updated 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