Known until its initial deactivation in 2010 as the MMWA-SICW Ladies Championship.
Fans, we need your help. Please send in missing title reigns, locations, dates and/or notes if you have them.
| WON BY | LOCATION | DATE | NOTES |
| Sheila | Mar-00 | ||
| … | |||
| Big Mama Love | Sep-00 | ||
| Aphrodite | Saint Louis, Mo. | 9/9/00 | |
| Tara the Irish Terror | Saint Louis, Mo. | 4/21/01 | |
| Lacey | Saint Louis, Mo. | 1/19/02 | |
| Tara the Irish Terror | Saint Louis, Mo. | 9/14/02 | no time limit, no disqualification |
| … | |||
| VACANT | 2003 | ||
| … | |||
| Lacey | |||
| Xtreme Kim Chi | Saint Louis, Mo. | 2/12/05 | |
| Christie Summers | Saint Louis, Mo. | 2/4/06 | |
| Jennifer Starr | Saint Louis, Mo. | 5/13/06 | no disqualification |
| Christie Summers | Saint Louis, Mo. | 8/12/06 | no disqualification |
| Jennifer Starr | Saint Louis, Mo. | 11/4/06 | |
| Christie Summers | Saint Louis, Mo. | 2/24/07 | |
| Jennifer Starr | East Carondelet, Ill. | 4/21/07 | |
| VACANT | retired | ||
| Alexis Lightfoot | Saint Louis, Mo. | 4/12/08 | def. Stacey O’Brien |
| Stacey O’Brien | Saint Louis, Mo. | 5/10/08 | |
| Alexis Lightfoot | Saint Louis, Mo. | 8/9/08 | |
| Destiny Diamond | Saint Louis, Mo. | 7/11/09 | |
| Alexis Lightfoot | Saint Louis, Mo. | 11/14/09 | |
| VACANT | 8/21/10 | Tony Casta quietly confirms vacancy on this day | |
| Ashlyn Alexander | Saint Louis, Mo. | 9/10/22 | def. Shylynn in tournament final |
| Madi Monarch | Saint Louis, Mo. | 4/8/23 | three-way with Shylynn |
Credit: Patrick Brandmeyer, David Creahin
Saint Louis Wrestling 