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The race was won by Annemiek van Vleuten of Movistar Team for the fourth time, beating Juliette Labous by nearly four minutes. Van Vleuten also won the points and mountains classifications, with Gaia Realini winning the youth classification and the Italian rider classification.
24 teams participated in the race. Each team had seven riders, one more than the 2022 edition. All 15 UCI Women's WorldTeams were automatically invited. They were joined by 9 UCI Women's Continental Teams selected by organisers PMG Sport/Starlight. The teams were announced on 25 May 2023.
In May 2023, the route was announced by organisers PMG Sport/Starlight. The race started in Tuscany with an individual time trial, before heading north-west through the Emilia-Romagna, Piedmont, Liguria regions. After seven stages, the race transferred to Sardinia for the last two stages. The announcement of the route was criticised, taking place around 1 month prior to the event. The route itself was also criticised, with a drop in the total number of stages and stage length compared to previous editions.
As with the previous editions, the route required a waiver from the Union Cycliste Internationale, as Women's WorldTour races have a maximum race length of six days.
One day prior to the event, an official start list was not available. The organisation of the race was criticised by Lizzie Deignan, noting the financial difficulties of the organiser.
Prior to the race, organisers PMG Sport/Starlight stated that they could not afford the €730,000 cost of TV coverage, which is required for the UCI Women's World Tour. Media reports suggested that without TV coverage, the race could be cancelled. Subsequently, agreement was made between the Italian Cycling Federation and Italian national broadcaster RAI to broadcast the race. CyclingNews reported that each stage would have "roughly one hour" of live coverage on RAI, Eurosport and Global Cycling Network.
Notes
Stage 1 was neutralised due to a thunderstorm and flooded roads
Frattini, Kirsten (2021-10-16). "A closer look reveals the inequity at Tour de France Femmes". cyclingnews.com. Retrieved 2022-02-28. Regarding, the number of days of competition during a stage race, the UCI sets the elite women's stage races at six days, unless an exemption is made by its Management Committee.
Annemiek van Vleuten (NED)
Elisa Longo Borghini (ITA)
Antonia Niedermaier (GER)
Blanka Vas (HUN)
Juliette Labous (FRA)
Veronica Ewers (USA)
Cecilie Uttrup Ludwig (DEN)
Mavi García (ESP)
Niamh Fisher-Black (NZL)
Anna Shackley (GBR)
Petra Stiasny (SUI)
UAE Team ADQ
Team Jayco–AlUla
Fenix–Deceuninck