Starting with the 2021-2022 season, the MIAA moved to a statewide tournament and increased the number of divisions in girls lacrosse to four. Congratulations to all of the MIAA State Champions!
| Year | Division 1 | Division 2 | Division 3 | Division 4 |
|---|---|---|---|---|
| 2023 | Lincoln-Sudbury High School | Notre Dame Academy, Hingham | Newburyport High School | Dover-Sherborn High School |
| 2022 | Westwood High School | Notre Dame Academy, Hingham | Medfield High School | Dover-Sherborn High School |
| Year | Division 1 | Division 2 |
|---|---|---|
| 2021 | Westwood High School | Dover-Sherborn High School |
| 2020 | Season cancelled due to COVID-19 | Season cancelled due to COVID-19 |
| 2019 | Notre Dame Academy (H) | Cohasset High School |
| 2018 | Wellesley High School | Norwell High School |
| 2017 | Needham High School | Cohasset High School |
| 2016 | Westwood High School | Norwell High School |
| 2015 | Longmeadow High School | Norwell High School |
| 2014 | Westwood High School | Newburyport High School |
| 2013 | Notre Dame Academy (H) | Norwell High School |
| 2012 | Westwood High School | Medfield High School |
| 2011 | Westwood High School | Hopkinton High School |
| 2010 | Framingham High School | Norwell High School |
| 2009 | Westwood High School | Norwell High School |
| 2008 | Westwood High School | Winchester High School |
| 2007 | Framingham High School | Duxbury High School |
| 2006 | Framingham High School | Norwell High School |
| 2005 | Westwood High School | Norwell High School |
| 2004 | Longmeadow High School | |
| 2003 | Westwood High School | |
| 2002 | Needham High School | |
| 2001 | Hingham High School | |
| 2000 | Needham High School | |
| 1999 | Needham High School | |
| 1998 | Needham High School | |
| 1997 | Needham High School | |
| 1996 | Longmeadow High School |