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