The U.S. has medaled in all 18 of the previous International Ice Hockey Federation Under-18 Women's World Championships, capturing the event's top prize a total of 10 times (2008, 2009, 2011, 2015, 2016, 2017, 2018, 2020, 2024, 2026). Through the 2026 U18 WWC, Team USA is 76-6-4-7 (W-OTW-OTL-L) in 93 career games.

Team USA most recently won gold at the 2026 IIHF Under-18 Women's World Championship in Cape Breton, Nova Scotia, defeating Canada, 2-0, and going a perfect 6-0-0-0 en route to gold.