Top Rank Tennis is a sports game where players can choose to play singles or doubles matches. The game has two main modes: Official and Practice. Players must follow standard tennis rules. A unique feature of this Game Boy title is that the scoring and other words like "play" and "fault" are announced out loud.
The gameplay involves hitting shots back and forth with an opponent, aiming to win points and games. The game's scoring system is based on standard tennis rules, with the player needing to win at least four points in a set to win. Players can also choose to play exhibition matches or try their hand at practice mode.