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Date: 19 February 2010
| Rank | Name | Nation | 1st race | 2nd race | Total |
| 1 | Marit Bjørgen | NOR | 39:58.1 | ||
| 2 | Anna Haag | SWE | 40:07.0 | ||
| 3 | Justyna Kowalczyk | POL | 40:07.4 | ||
| 4 | Kristin Størmer Steira | NOR | 40:07.5 | ||
| 5 | Aino-Kaisa Saarinen | FIN | 40:40.6 | ||
| 6 | Therese Johaug | NOR | 40:50.0 | ||
| 7 | Marianna Longa | ITA | 41:02.2 | ||
| 8 | Charlotte Kalla | SWE | 41:18.5 | ||
| 9 | Arianna Follis | ITA | 41:21.6 | ||
| 10 | Sara Renner | CAN | 41:37.9 | ||
| 11 | Evi Sachenbacher-Stehle | GER | 41:37.9 | ||
| 12 | Olga Zavyalova | RUS | 41:38.3 | ||
| 13 | Irina Khazova | RUS | 41:56.1 | ||
| 14 | Valentyna Shevchenko | UKR | 41:58.7 | ||
| 15 | Riitta-Liisa Roponen | FIN | 42:00.2 | ||
| 16 | Silvia Rupil | ITA | 42:01.6 | ||
| 17 | Barbara Jezeršek | SLO | 42:17.0 | ||
| 18 | Sabina Valbusa | ITA | 42:19.4 | ||
| 19 | Karine Laurent Philippot | FRA | 42:21.2 | ||
| 20 | Masako Ishida | JPN | 42:24.3 | ||
| 21 | Riikka Sarasoja | FIN | 42:24.4 | ||
| 22 | Nicole Fessel | GER | 42:25.1 | ||
| 23 | Kamila Rajdlová | CZE | 42:26.5 | ||
| 24 | Katrin Zeller | GER | 42:26.9 | ||
| 25 | Svetlana Malakhova-Shishkina | KAZ | 42:27.1 | ||
| 26 | Olga Rocheva | RUS | 42:30.5 | ||
| 27 | Laura Orgue | ESP | 42:38.3 | ||
| 28 | Yelena Kolomina | KAZ | 42:48.4 | ||
| 29 | Katerina Smutna | AUT | 42:50.3 | ||
| 30 | Pirjo Muranen | FIN | 42:50.5 | ||
| 31 | Tetiana Zavaliy | UKR | 42:50.7 | ||
| 32 | Aurore Cuinet | FRA | 42:51.7 | ||
| 33 | Oksana Yatskaya | KAZ | 42:53.0 | ||
| 34 | Sylwia Jaśkowiec | POL | 42:54.8 | ||
| 35 | Kornelia Marek | POL | 42:56.9 | ||
| 36 | Stefanie Böhler | GER | 43:17.9 | ||
| 37 | Li Hongxue | CHN | 43:24.3 | ||
| 38 | Morgan Arritola | USA | 43:25.9 | ||
| 39 | Yelena Sannikova | BLR | 43:33.7 | ||
| 40 | Yevgeniya Medvedeva | RUS | 43:59.6 | ||
| 41 | Madeleine Williams | CAN | 44:11.2 | ||
| 42 | Ida Ingemarsdottir | SWE | 44:16.5 | ||
| 43 | Caitlin Compton | USA | 44:23.3 | ||
| 44 | Tatjana Mannima | EST | 44:24.2 | ||
| 45 | Cécile Storti | FRA | 44:24.3 | ||
| 46 | Vita Yakymchuk | UKR | 44:24.8 | ||
| 47 | Daria Gaiazova | CAN | 44:35.9 | ||
| 48 | Marina Matrossova | KAZ | 44:36.2 | ||
| 49 | Émilie Vina | FRA | 44:45.0 | ||
| 50 | Yekaterina Rudakova | BLR | 44:50.5 | ||
| 51 | Eva Nývltová | CZE | 44:52.8 | ||
| 52 | Paulina Maciuszek | POL | 44:56.6 | ||
| 53 | Britta Johansson Norgren | SWE | 45:25.7 | ||
| 54 | Anastasiya Dubarezova | BLR | 45:27.9 | ||
| 55 | Monika Gyorgy | ROU | 45:37.5 | ||
| 56 | Holly Brooks | USA | 45:38.8 | ||
| 57 | Perianne Jones | CAN | 45:48.7 | ||
| 58 | Liz Stephen | USA | 45:53.8 | ||
| 59 | Lee Chae-Weon | KOR | 47:34.6 | ||
| 60 | Anja Eržen | SLO | 48:22.9 | ||
| 61 | Kelime Çetinkaya | TUR | 48:46.0 | ||
| 62 | Antoniya Grigorova | BUL | 49:31.5 | ||
| Did not finish | |||||
| Maryna Antsybor | UKR | ||||
| Vibeke Skofterud | NOR | ||||
| Kristina Šmigun-Vähi | EST | ||||
| Kaija Udras | EST | ||||
| Did not start | |||||
| Iva Janeckova | CZE | ||||
| Katie Calder | NZL | ||||