1978 World Wrestling Championships Medal table Medal table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Soviet Union | 12 | 4 | 4 | 20 |
| 2 | Romania | 3 | 1 | 2 | 6 |
| 3 | East Germany | 2 | 1 | 1 | 4 |
| 4 | Bulgaria | 1 | 2 | 1 | 4 |
| 5 | Japan | 1 | 2 | 0 | 3 |
| 6 | United States | 1 | 0 | 1 | 2 |
| 7 | Iran | 0 | 2 | 2 | 4 |
| 8 | Poland | 0 | 2 | 1 | 3 |
| 8 | Yugoslavia | 0 | 2 | 1 | 3 |
| 10 | Sweden | 0 | 1 | 1 | 2 |
| 10 | West Germany | 0 | 1 | 1 | 2 |
| 12 | Hungary | 0 | 1 | 0 | 1 |
| 12 | South Korea | 0 | 1 | 0 | 1 |
| 14 | Cuba | 0 | 0 | 2 | 2 |
| 15 | Greece | 0 | 0 | 1 | 1 |