The 200 Medley Relay features five teams within one second of each other. Ames, the favorite, had a strong showing at the 2015 IGHSAU State Swimming and Diving championships, winning every relay. The Little Cyclones of Jazlyn Horras, Molly Winer, Grace Snyder and Amy Feddersen brought home gold in a time of 1:45.65. Ankeny was second while Cedar Falls was third.