Tennis has been contested at every Mediterranean Games since its introduction to the program at the 1963 Mediterranean Games. The 1975 Mediterranean Games were the last games with tennis as a male only event — beginning with the 1979 Mediterranean Games, women's tennis is included in the program.
Updated after the 2022 Mediterranean Games
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Spain (ESP) | 17 | 20 | 19 | 56 |
| 2 |  Italy (ITA) | 17 | 12 | 18 | 47 |
| 3 |  Greece (GRE) | 5 | 2 | 2 | 9 |
| 4 |  Yugoslavia (YUG) | 4 | 3 | 3 | 10 |
| 5 |  Turkey (TUR) | 4 | 3 | 2 | 9 |
| 6 |  Morocco (MAR) | 4 | 1 | 7 | 12 |
| 7 |  Slovenia (SLO) | 2 | 1 | 2 | 5 |
| 8 |  Croatia (CRO) | 2 | 1 | 1 | 4 |
| 9 |  France (FRA) | 1 | 2 | 2 | 5 |
| 10 |  Egypt (EGY) | 0 | 3 | 0 | 3 |
| 11 |  Algeria (ALG) | 0 | 2 | 2 | 4 |
 Tunisia (TUN) | 0 | 2 | 2 | 4 | |
| 13 |  Bosnia and Herzegovina (BIH) | 0 | 1 | 0 | 1 |
 Malta (MLT) | 0 | 1 | 0 | 1 | |
 Monaco (MON) | 0 | 1 | 0 | 1 | |
 Montenegro (MNE) | 0 | 1 | 0 | 1 | |
| Totals (16 entries) | 56 | 56 | 60 | 172 | |
| Rank | Name | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Laura Pous Tió |
3 | 1 | 0 | 4 |
| 2 |  Manuel Santana |
2 | 1 | 1 | 4 |
| 3 | Manuel Orantes |
2 | 1 | 0 | 3 |
 Çağla Büyükakçay |
2 | 1 | 0 | 3 | |
| 5 | Juan Gisbert |
1 | 3 | 0 | 4 |
| 6 | José Luis Arilla |
1 | 0 | 2 | 3 |
 Younes El Aynaoui |
1 | 0 | 2 | 3 | |
| 8 |  Francesca Romano |
0 | 2 | 1 | 3 |
| 9 | Alberto Berasategui |
0 | 1 | 2 | 3 |
 Zoltan Ilin |
0 | 1 | 2 | 3 |
