After the Games in Naples (1963) and Bari (1997), Italy organised the Mediterranean Games for the third time. The Games took place from June 26 to July 5, with 23 countries in competition and the presence of 3,368 athletes, including 1,185 women, in the main city of Abruzzo. As usual, Italy dominated the medal ranking with 176 podiums, with France coming next with 140 podiums and Spain staying far behind with 83 medals. Andorra and Lebanon did not make it to any medal ceremonies. French gymnastics was particularly at the spotlight as its athletes won 18 medals in total. Youna Dufournet alone won four titles. At home, the foil fencer Valentina Vezzali, who in her career would win six Olympic titles, easily imposed herself as she had already done eight years ago in Tunis. The French judoka Teddy Riner, who had just won a bronze medal at the Beijing Olympic Games and who would win two more Olympic titles, won the gold in the +100 kg category.