| <table border="1"> | |
| <tr><td>Rank</td><td>City/town</td><td>Department</td><td>Population 2002 Census</td><td>Population 1992 Census</td><td>Change</td></tr> | |
| <tr><td>1</td><td>Asunción</td><td>Capital District</td><td>512,112</td><td>500,938</td><td>+2.23%</td></tr> | |
| <tr><td>2</td><td>Ciudad del Este</td><td>Alto Paraná</td><td>222,274</td><td>133,881</td><td>+66.02%</td></tr> | |
| <tr><td>3</td><td>San Lorenzo</td><td>Central</td><td>204,356</td><td>133,395</td><td>+53.20%</td></tr> | |
| <tr><td>4</td><td>Luque</td><td>Central</td><td>170,986</td><td>84,877</td><td>+101.45%</td></tr> | |
| <tr><td>5</td><td>Capiatá</td><td>Central</td><td>154,274</td><td>83,773</td><td>+84.16%</td></tr> | |
| <tr><td>6</td><td>Lambaré</td><td>Central</td><td>119,795</td><td>99,572</td><td>+20.31%</td></tr> | |
| <tr><td>7</td><td>Fernando de la Mora</td><td>Central</td><td>113,560</td><td>95,072</td><td>+19.45%</td></tr> | |
| <tr><td>8</td><td>Limpio</td><td>Central</td><td>73,158</td><td>26,177</td><td>+179.47%</td></tr> | |
| <tr><td>9</td><td>Ñemby</td><td>Central</td><td>71,909</td><td>26,999</td><td>+166.34%</td></tr> | |
| <tr><td>10</td><td>Encarnación</td><td>Itapúa</td><td>67,173</td><td>56,261</td><td>+19.40%</td></tr> | |
| <tr><td>11</td><td>Mariano Roque Alonso</td><td>Central</td><td>65,229</td><td>39,289</td><td>+66.02%</td></tr> | |
| <tr><td>12</td><td>Pedro Juan Caballero</td><td>Amambay</td><td>64,592</td><td>53,566</td><td>+20.58%</td></tr> | |
| <tr><td>13</td><td>Villa Elisa</td><td>Central</td><td>53,166</td><td>29,796</td><td>+78.43%</td></tr> | |
| <tr><td>14</td><td>Caaguazú</td><td>Caaguazú</td><td>48,941</td><td>38,220</td><td>+28.05%</td></tr> | |
| <tr><td>15</td><td>Coronel Oviedo</td><td>Caaguazú</td><td>48,773</td><td>38,316</td><td>+27.29%</td></tr> | |
| <tr><td>16</td><td>Hernandarias</td><td>Alto Paraná</td><td>47,266</td><td>28,180</td><td>+67.73%</td></tr> | |
| <tr><td>17</td><td>Presidente Franco</td><td>Alto Paraná</td><td>47,246</td><td>31,825</td><td>+48.46%</td></tr> | |
| <tr><td>18</td><td>Itauguá</td><td>Central</td><td>45,577</td><td>13,910</td><td>+227.66%</td></tr> | |
| <tr><td>19</td><td>Concepción</td><td>Concepción</td><td>43,661</td><td>35,276</td><td>+23.77%</td></tr> | |
| <tr><td>20</td><td>Villarrica</td><td>Guairá</td><td>38,961</td><td>27,818</td><td>+40.06%</td></tr> | |
| <tr><td>21</td><td>San Antonio</td><td>Central</td><td>37,795</td><td>7,371</td><td>+412.75%</td></tr> | |
| <tr><td>22</td><td>Pilar</td><td>Ñeembucú</td><td>24,300</td><td>19,121</td><td>+27.09%</td></tr> | |
| <tr><td>23</td><td>Caacupé</td><td>Cordillera</td><td>19,131</td><td>12,382</td><td>+54.51%</td></tr> | |
| <tr><td>24</td><td>Itá</td><td>Central</td><td>17,469</td><td>14,259</td><td>+22.51%</td></tr> | |
| <tr><td>25</td><td>Mariscal Estigarribia</td><td>Boquerón</td><td>16,418</td><td>16,418</td><td>0.00%</td></tr> | |
| <tr><td>26</td><td>Villa Hayes</td><td>Presidente Hayes</td><td>15,823</td><td>11,859</td><td>+33.43%</td></tr> | |
| <tr><td>27</td><td>Minga Guazú</td><td>Alto Paraná</td><td>14,806</td><td>8,914</td><td>+66.10%</td></tr> | |
| <tr><td>28</td><td>San Ignacio</td><td>Misiones</td><td>13,716</td><td>11,580</td><td>+18.45%</td></tr> | |
| <tr><td>29</td><td>San Estanislao</td><td>San Pedro</td><td>13,202</td><td>9,132</td><td>+44.57%</td></tr> | |
| <tr><td>30</td><td>Ayolas</td><td>Misiones</td><td>10,851</td><td>9,143</td><td>+18.68%</td></tr> | |
| <tr><td>31</td><td>Villeta</td><td>Central</td><td>10,106</td><td>7,439</td><td>+35.85%</td></tr> | |
| <tr><td>32</td><td>Areguá</td><td>Central</td><td>10,009</td><td>6,374</td><td>+57.03%</td></tr> | |
| </table> | |