All four group winners qualified for the 2011 CONCACAF U-20 Championship in Guatemala April 3–17, with the group runners-up advancing to a second group phase that determined the Caribbean's fifth and final entrant in the 12-team confederation finals.[3]
Because a host country could not be found for Group D, Trinidad played St. Vincent & the Grenadines, and Aruba played Suriname in two two-leg series with the winners facing off to determine the group winner.
The Central American zone qualifying tournament was mired in controversy.
El Salvador had called-up United States under 17 international Dustin Corea to their national under-20 national team but did not write to FIFA request a change of association for the player as is required. Corea had previously played for United States in the 2009 CONCACAF U-17 Championship.[6]
On 4 February 2012 UNCAF published CONCACAF's decision to deny El Salvador a place at the 2011 CONCACAF Under-20 Championship for fielding an ineligible player in four games.[7]
As a result, El Salvador's matches versus Belize (1 December), Honduras (4 December) and both games Costa Rica (11 and 18 December) should have been forfeited due to fielding an ineligible player as per FIFA regulations. However matters were complicated as Belize would have won their Group A game 3-0 against El Salvador and qualified for the play-off had the forfeit been brought in at an earlier time. Instead El Salvador reached the play-off final and played Costa Rica twice – later forfeiting both games 3-0, allowing Costa Rica to qualify despite losing the matches 2-1 on aggregate.