The 2018–19 East Carolina Pirates women's basketball team will represent East Carolina University during the 2018–19 NCAA Division I women's basketball season. The Pirates, led by first year head coach and later first year head coach , play their home games at Williams Arena at Minges Coliseum and were fifth year members of the American Athletic Conference. They finished the season 16–15, 6–10 AAC play to finish in a tie for seventh place. They defeated SMU in the first round before losing in the quarterfinals of the American Athletic women's tournament to Connecticut.