The women's 4×200 metre freestyle relay event at the 2009 Maccabiah Games took place on 13 July at the Wingate Institute. This swimming event used freestyle as a relay, with swimmers typically using the front crawl. Because an Olympic size swimming pool is 50 metres long, each of the four swimmers completed four lengths of the pool. The first swimmer had to touch the wall before the second could leave the starting block; timing of the starts was thus important.
No heats were held, with all teams making the finals. A teams without a minimum of four swimmers were allowed to combine swimmers from other teams. The final heat was a combination of the Open competition and the Junior competition. Thus the medals listed below are not accurate. The second teams for each country were in a separate division (with their own medals awarded).