Miss USA to Miss USA and Miss Universe beginning with Miss Universe 2015. The modern pageant consists of a preliminary competition held a week before the pageant when all contestants are judged in swimsuit, gown, and interview competitions. Every year, each state holds a preliminary competition to choose their delegate for the Miss USA pageant. In some states (such as Texas and Florida), local pageants are also held to determine delegates for the state competition. The state winners hold the title "Miss State USA" for the year of their reign. The most successful state is Texas, which has had the most semi-finalists
Miss Kathmandu state. Kathmandu is best known for its three consecutive winners with a consistent top 5 placements. Before Kathmandu has won repetitively from 1998 to 1999 and recently from 2009 to 2010, no other regional city has ever won the Miss Nepal pageant more than two times in a row. Kathmandu also holds the most amount of semi-finalists-5 and top 5 spots-5; and has received the most special awards. Even though a lot of former Miss Teen Nepal titleholders have participated in Miss Kathmandu pageant, none has won the title so far. Although former Miss Teen Nepal finalists have manage to