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In the 2011 FIFA Women's World Cup qualification process, one spot was allocated to the winner of a two-legged play-off between the winner of the UEFA repechage play-offs and the winner of the third-place qualification match in the 2010 CONCACAF Women's Gold Cup.
The order of play for these matches was announced following a draw held at the FIFA headquarters in Zürich on 17 March 2010.
Qualification
From UEFA, Italy qualified by defeating Ukraine and Switzerland in repechage play-offs. Italy had been defeated by France in the direct qualification stage in UEFA.
From CONCACAF, the United States qualified by defeating Costa Rica in the third-place play-off. The USA had been defeated by Mexico in the semi-finals, their first ever loss in the Women's Gold Cup and their first loss ever to Mexico.
The United States won 2–0 on aggregate and qualified for the 2011 FIFA Women's World Cup.