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Food consumption represents the dominant exposure pathway of the general public to pesticides. In this paper, we characterize the lifelong cumulative human health damage from ingestion of pesticides contained in fruits and vegetables in Switzerland and the United States. We evaluated pesticide residues in 62,151 food samples. Chemical specific concentrations were combined with pesticide emission data and information on country-specific diets and chemical toxicity to assess the human health impacts of 51 food commodities and national average diets. Furthermore, a list of characterization factors for pesticide ingestion via food was calculated for use in life cycle impact assessment. On average, the Swiss population takes in via food ingestion 0.41g of every 1kg of pesticide applied during agricultural cultivation. The corresponding value in the United States is 0.51. Intake fractions based on experimental monitoring data were compared with outputs from the USEtox model for life cycle impact assessment of toxic substances. The modeled intake fractions were underestimated by up to two orders of magnitude. However, even when using the monitored residue concentration data, the absolute health damage via fruits and vegetable ingestion was small: The potential lifelong damage of pesticides is estimated to be only 4.2 and 3.2 min of life lost per person in Switzerland and the United States, respectively. The results of this study indicate that pesticide intake due to the ingestion of fruits and vegetables consumed in Switzerland and the United States does not lead to significant human health damages.