The first round of qualifying matches for the 2010 FIFA World Cup in the CONCACAF section featured the 22 teams ranked 14 to 35 on the FIFA ranking for CONCACAF as of May 2007. The teams ranked 14th to 24th were randomly drawn against the teams ranked 25th to 35th. The draw took place on 25 November 2007 in Durban, South Africa. The top 13 CONCACAF teams received a bye and advanced directly to the second round.
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Format
In this round, there were 11 matches and the winners advanced to the second round. All games were played in home and away format, except three ties: Puerto Rico–Dominican Republic, Grenada–U.S. Virgin Islands and Montserrat–Suriname, which were played over one leg in late March due to several Member Associations failing to meet the new FIFA Stadium standards and being unable to secure a home venue.