Highest Major Cities in Paraguay
Cities in Paraguay with more than 15,000 inhabitants, ranked by elevation above sea level (GeoNames digital elevation model).
1Pedro Juan Caballero75,109 people · Amambay Department
649 m
2Caaguazú54,808 people · Caaguazú Department
336 m
3Doctor Juan Eulogio Estigarribia38,894 people · Caaguazú Department
301 m
4Presidente Franco54,292 people · Alto Paraná Department
206 m
5Ciudad del Este301,815 people · Alto Paraná Department
197 m
6Yby Yaú31,290 people · Concepción
184 m
7Caacupé56,864 people · Cordillera Department
180 m
8Coronel Oviedo51,286 people · Caaguazú Department
161 m
9Caazapá23,996 people · Caazapá
150 m
10Itá18,459 people · Central Department
147 m
11Villarrica41,157 people · Guairá
143 m
12Filadelfia19,927 people · Boquerón Department
140 m
13Itauguá64,997 people · Central Department
140 m
14Loma Plata16,460 people · Boquerón Department
133 m
15Fernando de la Mora120,167 people · Central Department
131 m
16Capiatá198,553 people · Central Department
130 m
17San Antonio55,754 people · Central Department
123 m
18Lambaré126,377 people · Central Department
119 m
19San Lorenzo227,876 people · Central Department
119 m
20Villa Elisa64,099 people · Central Department
119 m
21Asunción1,482,200 people · Asuncion
113 m
22Nemby94,641 people · Central Department
109 m
23San Juan Bautista16,593 people · Misiones Department
103 m
24Encarnación74,983 people · Itapúa
99 m
25Mariano Roque Alonso72,008 people · Central Department
80 m
26Concepción48,123 people · Concepción
78 m
27Villeta36,985 people · Central Department
78 m
28Limpio96,143 people · Central Department
74 m
29Pilar32,810 people · Ñeembucú Department
60 m
30Villa Hayes57,217 people · Presidente Hayes
58 m
Highlights
Within Paraguay, Pedro Juan Caballero ranks first in 2026 with 649 m, followed by Caaguazú (336 m) and Doctor Juan Eulogio Estigarribia (301 m).
Pedro Juan Caballero is 1.9 times higher than Caaguazú, the runner-up.
Across 30 entries, values run from 649 m (Pedro Juan Caballero) to 58 m (Villa Hayes), with a median of 131 m.
Source: GeoNames, cities with more than 15,000 inhabitants, 2026. Unit: metres.
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