Prefectural elections were held in Hokkaido Prefecture on 7 April 2019 to elect the members of the Hokkaido Prefectural Assembly. It saw the election of Ayako Fuchigami, the first sexual minority politician to be elected to a Japanese prefectural assembly.
The election was held as the four year term of the members of Hokkaido Prefectural Assembly ended. There were 134 candidates running for the 100 seats in the assembly, with 35 candidates in 21 constituencies being elected unopposed, the highest number in the history of Hokkaido Prefectural elections.