| Name | What | Region | Country | Lat | Long | Elev ft. | Pop est |
|---|---|---|---|---|---|---|---|
| Vaca Jhu | city | San Pedro | Paraguay | -24.57 | -56.62 | 390 | 2085 |
| Vacareta | city | Neembucu | Paraguay | -26.90 | -57.58 | 196 | 338 |
| Vacay | city | Itapua | Paraguay | -26.90 | -55.60 | 830 | 2080 |
| Valenzuela | city | Cordillera | Paraguay | -25.58 | -56.87 | 830 | 3862 |
| Valle Apua | city | Paraguari | Paraguay | -26.03 | -57.22 | 413 | 3532 |
| Valle-mi | city | Concepcion | Paraguay | -22.13 | -57.97 | 400 | 461 |
| Valley-mi | city | Concepcion | Paraguay | -22.13 | -57.97 | 400 | 461 |
| Vapor Cue | city | Cordillera | Paraguay | -25.20 | -56.78 | 200 | 2544 |
| Veinticinco de Diciembre | city | San Pedro | Paraguay | -24.70 | -56.55 | 383 | 3189 |
| Veinticinco de Mayo | city | Boqueron | Paraguay | -22.98 | -61.68 | 830 | 0 |
| Ventiocho Kilometros de Paranambu | city | Alto Parana | Paraguay | -25.82 | -54.83 | 948 | 2013 |
| Vera-cue | city | Presidente Hayes | Paraguay | -25.13 | -57.80 | 196 | 156 |
| Vicente Matiauda | city | Itapua | Paraguay | -27.23 | -55.60 | 830 | 2933 |
| Victoria Guazu | city | Amambay | Paraguay | -22.60 | -55.87 | 1742 | 745 |
| Viljarika | city | Guaira | Paraguay | -25.78 | -56.45 | 830 | 42683 |
| Viljeta | city | Central | Paraguay | -25.47 | -57.60 | 183 | 25891 |
| Villa Azara | city | Alto Parana | Paraguay | -25.90 | -54.72 | 830 | 2081 |
| Villa Concepcion | city | Concepcion | Paraguay | -23.41 | -57.44 | 144 | 35838 |
| Villa Curuguaty | city | Canindeyu | Paraguay | -24.52 | -55.70 | 830 | 1639 |
| Villa Elisa | city | Central | Paraguay | -25.37 | -57.62 | 383 | 264735 |
| Villa Florida | city | Misiones | Paraguay | -26.38 | -57.15 | 190 | 760 |
| Villa Franca | city | Neembucu | Paraguay | -26.28 | -58.20 | 173 | 22260 |
| Villa Franca Nueva | city | Neembucu | Paraguay | -26.17 | -58.15 | 150 | 68574 |
| Villa Hayes | city | Presidente Hayes | Paraguay | -25.09 | -57.52 | 173 | 38958 |
| Villa Mercedes | city | Alto Parana | Paraguay | -25.52 | -55.37 | 859 | 9408 |
| Villa Occidental | city | Presidente Hayes | Paraguay | -25.09 | -57.52 | 173 | 38958 |
| Villa Oliva | city | Neembucu | Paraguay | -26.02 | -57.88 | 154 | 219 |
| Villa Pastoreo | city | Caazapa | Paraguay | -25.88 | -55.75 | 862 | 1341 |
| Villa Pastoreo | city | Caazapa | Paraguay | -25.87 | -55.85 | 830 | 1341 |
| Villa Rey | city | Presidente Hayes | Paraguay | -24.73 | -57.20 | 190 | 557 |
| Villa Rica | city | Guaira | Paraguay | -25.78 | -56.45 | 830 | 42683 |
| Villa San Francisco | city | Alto Parana | Paraguay | -25.42 | -54.63 | 830 | 67090 |
| Villa Sana | city | Concepcion | Paraguay | -22.83 | -57.10 | 830 | 447 |
| Villa de San Pedro Apóstol de Ykuamandyju | city | San Pedro | Paraguay | -24.09 | -57.08 | 226 | 8347 |
| Villalbin | city | Neembucu | Paraguay | -27.15 | -57.92 | 203 | 745 |
| Villanueva | city | Boqueron | Paraguay | -22.90 | -61.98 | 830 | 3 |
| Villanueva | city | Boqueron | Paraguay | -22.92 | -62.02 | 830 | 136 |
| Villanueva San Antonio | city | Boqueron | Paraguay | -22.90 | -61.98 | 830 | 3 |
| Villarrica | city | Guaira | Paraguay | -25.78 | -56.45 | 830 | 42683 |
| Villarrica del Espiritu Santo | city | Guaira | Paraguay | -25.78 | -56.45 | 830 | 42683 |
| Villarrika | city | Guaira | Paraguay | -25.78 | -56.45 | 830 | 42683 |
| Villazón | city | Boqueron | Paraguay | -20.58 | -62.27 | 1213 | 90 |
| Villeta | city | Central | Paraguay | -25.47 | -57.60 | 183 | 25891 |