Ionospheric observations from the ground‐based GPS receiver network, CHAMP and GRACE satellites and ionosondes were used to examine topside and bottomside ionospheric variations at low and middle latitudes over the Pacific and American sectors during the October 2003 superstorms. The latitudinal variation and the storm time response of the ground‐based GPS total electron content (TEC) were generally consistent with those of the CHAMP and GRACE up‐looking TEC. The TECs at heights below the satellite altitudes during the main phases were comparable to, or even less than, the quiet time values. However, the storm time CHAMP and GRACE up‐looking TECs showed profound increases at low and middle latitudes. The ground‐based TEC and ionosonde data were also combined to study the TEC variations below and above the F2 peak height (hmF2). The topside TECs above hmF2 at low and middle lati...