| Men 200m Medley Swimming III World Championship 1978 West Berlin - Thursday, 24th August - Gold Medal: Graham Smith, Canada | 
| Final |   | time |   | gap | L | ag | 50m | 100m | 150m |  | 1. Graham Smith |   Canada | 2:03.65 | WR |   | 4 | 20 | 27.59s | 1:00.08 | 1:33.87 |  | 2. Jesse Vassallo |   United States | 2:04.99 |   | +1.34s | 5 | 17 | 27.77s | 58.18s | 1:35.53 |  | 3. Aleksandr Sidorenko |   Soviet Union | 2:05.29 |   | +1.64s | 6 | 18 | 27.71s | 58.76s | 1:35.27 |  | 4. Steve Lundquist |   United States | 2:05.80 |   | +2.15s | 3 | 17 | 26.51s | 57.91s | 1:34.87 |  | 5. Bill Sawchuk |   Canada | 2:06.65 |   | +3.00s | 7 | 19 | 26.83s | 1:00.20 | 1:37.21 |  | 6. Serhiy Fesenko |   Soviet Union | 2:06.96 |   | +3.31s | 2 | 19 | 27.30s | 59.98s | 1:36.97 |  | 7. Arne Borgstrom |   Norway | 2:08.18 | NR | +4.53s | 8 | 19 | 28.47s | 1:01.61 | 1:38.13 |  | 8. Miloslav Rolko |   Czechoslovakia | 2:09.26 |   | +5.61s | 1 | 17 | 26.41s | 59.14s | 1:39.09 |   
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| World Record: Steve Lundquist, United States 2:04.39 (26.57s, 57.87s, 1:34.00) |  | Championship Record: Andras Hargitay, Hungary 2:07.72 (27.54s, 59.86s, 1:38.20) 1975 |   
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 Heats - Thursday, 24th August |  | Best 8 times advanced to Final>.  |   
| Heat 5 |   | time |   | gap | L | ag | Rk |  | 3. Steve Lundquist |   United States | 2:07.64 |   | +1.14s | - | 17 | 1. |  | 5. Serhiy Fesenko |   Soviet Union | 2:07.94 |   | +1.44s | - | 19 | 2. |  | 9. Jorg Walter |   East Germany | 2:09.22 |   | +2.72s | - | 21 | 3. |   
| Heat 4 |   | time |   | gap | L | ag | Rk |  | 4. Aleksandr Sidorenko |   Soviet Union | 2:07.66 |   | +1.16s | - | 18 | 1. |  | 9. Andras Hargitay |   Hungary | 2:09.22 |   | +2.72s | - | 22 | 2. |  | 12.Hans-Joachim Geisler |   West Germany | 2:10.63 |   | +4.13s | - | 23 | 3. |   
| Heat 3 |   | time |   | gap | L | ag | Rk |  | 1. Graham Smith |   Canada | 2:06.50 | CR |   | - | 20 | 1. |  | 8. Arne Borgstrom |   Norway | 2:08.58 |   | +2.08s | - | 19 | 2. |  | 11.David Lopez-Zubero |   Spain | 2:10.01 |   | +3.51s | - | 19 | 3. |   
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| Heat 2 |   | time |   | gap | L | ag | Rk |  | 6. Bill Sawchuk |   Canada | 2:08.06 |   | +1.56s | - | 19 | 1. |  | 15.Zoltan Verraszto |   Hungary | 2:11.91 |   | +5.41s | - | 22 | 2. |  | 21.Leszek Gorski |   Poland | 2:13.86 |   | +7.36s | - | 17 | 3. |   
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| Heat 1 |   | time |   | gap | L | ag | Rk  |  | 2. Jesse Vassallo |   United States | 2:07.16 |   | +0.66s | - | 17 | 1. |  | 7. Miloslav Rolko |   Czechoslovakia | 2:08.31 | NR | +1.81s | - | 17 | 2. |  | 13.Guillermo Zavala |   Mexico | 2:10.81 | NR | +4.31s | - | 20 | 3. |   
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| Heat - |   | time |   | gap | L | ag | Rk |  | 14.Reinhold Becker |   West Germany | 2:11.43 |   | +4.93s | - | 19 |   |  | 16.Georgy Dangalakov |   Bulgaria | 2:11.97 |   | +5.47s | - | _ |   |  | 17.Helmuth Levy |   Colombia | 2:12.59 |   | +6.09s | - | 19 |   |  | 18.Rui Abreu |   Portugal | 2:12.87 | NR | +6.37s | - | 17 |   |  | 19.Andres Aguilar |   Costa Rica | 2:13.61 | NR | +7.11s | - | 17 |   |  | 20.Pablo Restrepo |   Colombia | 2:13.69 |   | +7.19s | - | 18 |   |  | 22.Bill Chao |   Taiwan | 2:14.14 |   | +7.64s | - | _ |   |  | 23.Murat Ozuak |   Turkey | 2:14.34 |   | +7.84s | - | _ |   |  | 24.Kurt Dittrich |   Austria | 2:14.37 | NR | +7.87s | - | 20 |   |  | 25.Jose-Ricardo De Jesus |   Puerto Rico | 2:14.56 |   | +8.06s | - | 18 |   |  | 26.Tung-Hsiung Hsu |   Taiwan | 2:15.04 |   | +8.54s | - | 23 |   |  | 27.David Cummins |   Ireland | 2:15.53 |   | +9.03s | - | 16 |   |  | 28.David Lindquist |   US Virgin Islands | 2:17.81 | NR | +11.31s | - | _ |   |  | 29.Samir Bouchlaghem |   Tunisia | 2:18.60 |   | +12.10s | - | _ |   |  | 30.Luki Niode |   Indonesia | 2:21.69 | NR | +15.19s | - | 14 |   |  | 31.Enrique Ledesma Jr |   Ecuador | 2:26.31 |   | +19.81s | - | 19 |   |  | -. Gary Andersson |   Sweden | DNS |   | - | - | 19 |   |  | -. Jasim Sadeq |   Kuwait | DNS |   | - | - | _ |   |   
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