The Acaray River is a river in eastern Paraguay. It is born in the Cordillera de Caaguazú, and is joined by the Yguazú and Itakyry rivers later on. The river flows through the Caaguazú and Alto Paraná Departments, and joins the Paraná River in an area between Ciudad del Este and Hernadarias, which was later modified for the construction of the Acaray Dam. One of its main tributaries is the Yguazú River, which also has its own dam: the Yguazú Dam.

The Apa River is a river of Paraguay and Brazil. It is a tributary of the Paraguay River, which in turn is a tributary of the Paraná River. It starts in the Amambai Mountains of the Brazilian state of Mato Grosso do Sul. The Apa forms part of the border between Paraguay and Brazil beginning at the twin cities of Bella Vista Norte and Bela Vista.

The Aquidabán River is a river in the Amambay Department, in northeastern Paraguay.

The Confuso River is a river of Paraguay. It is a tributary of the Paraguay River.

The Jejuí Guazú River is a river in northeast Paraguay. It is a tributary of the Paraguay River.
The Manduvirá River is a river of Paraguay. It is a tributary of the Paraguay River.

The Monday River is a river of Paraguay. It flows and empties into the Parana River, just south of the tri-border mark point of the Triple Frontier. Its primary course lies almost entirely within the Alto Parana Department.

The Paraguay River is a major river in south-central South America, running through Brazil, Bolivia, Paraguay and Argentina. It flows about 2,695 kilometres (1,675 mi) from its headwaters in the Brazilian state of Mato Grosso to its confluence with the Paraná River north of Corrientes and Resistencia.

The Paraná River is a river in south Central South America, running through Brazil, Paraguay, and Argentina for some 4,880 kilometres (3,030 mi). It is second in length only to the Amazon River among South American rivers. The name Paraná is an abbreviation of the phrase "para rehe onáva", which comes from the Tupi language and means "like the sea". It merges first with the Paraguay River and then farther downstream with the Uruguay River to form the Río de la Plata and empties into the Atlantic Ocean.

Pilcomayo is a river in central South America. At 1,100 kilometres (680 mi) long, it is the longest western tributary of the Paraguay River. Its drainage basin is 270,000 square kilometres (100,000 sq mi) in area, and its mean discharge is 200 cubic metres per second (7,100 cu ft/s).

The Salado River is a river of Paraguay. It is a tributary of the Paraguay River.

The Tebicuary River, a tributary of Paraguay River is a river in Paraguay. Located in the southwestern part of that country, it flows eastwards discharging to Paraguay River about 45 km south of Formosa and 30 km north of Pilar.

The Yhagüy River is a small river running north–south in Cordillera Department, Paraguay.
The Ypané River is a river of Paraguay. It is a tributary of the Paraguay River.
