During her 2001 Drowned World Tour, Madonna performed "La Isla Bonita" in the Latin segment of the show, wearing a revealing black senorita's dress and trousers, hair tied back and playing a Spanish guitar. She asked the crowd to join her while singing "olé ola" with the song. In the Confessions Tour, Madonna appeared on the stage in a purple white leotard with open hair and started singing the song. In the middle of the performance, she was joined by her backup dancers who, along with the singer, walked the length of the stage singing the chorus. The performance ends with Madonna lying down on the stage. The video backdrops showed a tropical paradise like the island San Pedro mentioned in the song.