The football tournament began with the first matches of the group stage on 14 August 1969 and ended with the gold medal match on 22 August 1969. New Caledonia and defending champions Tahiti contested the final in what was a replay of the 1966 final. New Caledonia defeated Tahiti 2–1 to win the gold medal. In the bronze medal match, Papua New Guinea defeated Fiji 2–1.
Football had been part of the South Pacific Games programme following the debut of the men's competition at the inaugural 1963 South Pacific Games in Fiji. New Caledonia had won the inaugural tournament after defeating hosts Fiji 8–2 in the gold medal match. Tahiti were the defending champions after defeating hosts New Caledonia 2–0 in the gold medal match at the 1966 South Pacific Games.[1]
The five teams played a single round robin group. The teams finishing first and second would contest the gold medal match and the teams finishing third and fourth would contest the bronze medal match.[2]
Tahiti forfeited their final group stage match against New Caledonia after they were unable to field a team due to injuries to 11 of their 19-man squad.[2]