The Parapan American Games is a multi-sport event held every four years after every Pan American Games for athletes with physical disabilities. The first Games was held in 1999 in Mexico City, Mexico. The 2003 Parapan American Games was the last Parapan American Games that was held not in the same city as the Pan American Games. The most recent games was the 5th Parapan American Games which took place in 2015 with the host city being Toronto, Canada.