The 2010 UEFA Women's Under-19 Championship Second qualifying round was the final qualifying round for the 2010 UEFA Women's Under-19 Championship and followed the 2010 UEFA Women's U-19 Championship First qualifying round. 23 teams came through that first round and were joined by top seed Germany.
The draw was made in Nyon on 11 November at 09.30CET. The 24 teams will be drawn into 6 groups of 4 teams, the winner of each group as well as the best runner-up will join hosts Macedonia in the finals next May and June.
Match against fourth placed team are not counting in this ranking.