The 2003 Miss Hawaii USA and Teen USA pageants concluded with Alicia Michioka winning the title of Miss Hawaii USA and Camille Peraro winning the title of Miss Hawaii Teen USA 2003. They will go on to compete for the titles of Miss USA 2003 and Miss Teen USA 2003.

The Top 5 finalists at the 2003 Miss Hawaii USA Pageant were:

First Runner-Up - Kristina Poulos
Second Runner-Up - Jonell Saragosa

Top 6:
Tina Bentkowski
Kanani Oury
Jianna Sagadraca

Congeniality: Lehua Sandbo
Photogenic: Jianna Sagadraca

The Top 5 finalists at the 2003 Miss Hawaii Teen USA Pageant were:

First Runner-Up - Karlee Martin
Second Runner-Up - Kaitlyn Metcalf
Third Runner-Up - Ruthchelle Melchor
Fourth Runner-up - Melissa Benz

Congeniality: Brittany Hamocon
Photogenic: Katlyn Metcalf