The best selling music DVD video in 2003 in Italy was VASCO ROSSI @ S.SIRO 03 by VASCO ROSSI.
| Rank | Artist | Video | Released |
| 1 | VASCO ROSSI | VASCO ROSSI @ S.SIRO 03 | 2003 |
| 2 | U2 | GO HOME - LIVE FROM SLANE CASTLE | 2003 |
| 3 | CLAUDIO BAGLIONI | TUTTO IN UN ABBRACCIO | 2003 |
| 4 | BRUCE SPRINGSTEEN | LIVE IN BARCELONA | 2003 |
| 5 | PINK FLOYD | LIVE AT POMPEII | 1989 |
| 6 | ROBBIE WILLIAMS | WHAT WE DID LAST SUMMER - LIVE AT KNEBWORTH | 2003 |
| 7 | PETER GABRIEL | GROWING UP LIVE | 2003 |
| 8 | QUEEN | LIVE AT WEMBLEY STADIUM | 1991 |
| 9 | PINK FLOYD & CLASSIC ALBUMS SERIES | THE MAKING OF THE DARK SIDE OF THE MOON | 2003 |
| 10 | RICCARDO COCCIANTE | NOTRE DAME DE PARIS - LIVE ARENA DI VERONA | 2002 |
Source: FIMI