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