This was the second year that the pageant was held in Shreveport. The pageant's return to the Shreveport-Bossier City area was announced by Miss Teen USA 1998 Vanessa Minillo and pageant owner Donald Trump in February 1999.[4]
In the lead up to the final competition the contestants participated in a number of sight-seeing opportunities and events, filming segments with Britney Spears that appeared in the final telecast.[5]
The preliminary competition was held on 20 July 1999, with all contestants competing in swimsuit and gown to determine the makeup of the semi-finalists who competed in the final telecast.[6]
Ashley Coleman was chosen from three finalists, with Louisiana's Sarah Thornhill finishing first runner-up and Khosi Roy of Maryland placing second runner-up.[1][2] There were two other finalists and five semi-finalists.[2]
Morgan O'Murray of Colorado later won the Miss Colorado 2002 title and competed at Miss America.[11]
Jane Kim won the title of Miss Georgia Teen USA 1999, but was disqualified in after it was discovered she was not a US citizen, but had been born in South Korea.[12] Her first runner-up, Keely Wright, represented Georgia in her place.[12]