With the arrival of Gerardo Martino as Mexico's new coach, Pizarro has been given precedence. In March 2019, Pizarro declared that it was a motivating gesture that Martino treated the domestic league players with the same importance and opportunity as those based in Europe. He was included in Mexico's preliminary list for the 2019 CONCACAF Gold Cup and was eventually in the final list. Prior to the start of the Gold Cup, he picked up a minor injury and did not appear in the tournament until the final group stage match against Martinique, coming on as a half-time substitute and contributing an assist to Raúl Jiménez for Mexico's second goal in a 3–2 victory. In the final against the United States, during the first half he would bend his left elbow in an apparent injury but managed to play in the second half as well, managing to contribute in Mexico's build up play for the winning goal as they won the tournament.