The pageant was hosted by Bob Goen for the first of three years replacing Dick Clark, with color commentary by Arthel Neville and a special guest appearance by Laura Harring, Miss USA 1985. Entertainment was provided by Doug Stone. During the live broadcast, the organizers of that year's Miss Universe pageant held in Manila, Philippines were introduced during the show along with that country's representative to said international competition.
This was the first of three consecutive years that the pageant was held on South Padre Island. The announcement that the pageant would be held there was made on 11 August 1993.
Contestants arrived on January 27 for two weeks of events and preliminary competitions before the final telecast. This included a dinner event in Matamoros, Tamaulipas, Mexico, put on by the mayor and city officials, which became an issue when rebel activity on the United States-Mexican border led to fears for the contestants' safety. The city had contributed more than $100,000 to South Padre's bid to host the pageant, fundraising that was mirrored by other cities in the Rio Grande Valley.
Kathleen Farrell (Illinois) had previously held the Miss Illinois 1992 title and won a non-finalist talent award in the Miss America 1993 pageant. One of her sisters Monica Farrell also competed in both pageants, holding the Miss Florida 1985 and Miss Florida USA 1988 titles, and she placed third runner-up at Miss USA 1988. Their other sister Mary-Ann Farrell was Miss New York 1984 and was a semi-finalist at Miss America 1985.
Leah Hulan (Tennessee) also competed at Miss America 1993, as she was previously Miss Tennessee 1992.
Delegates who had previously competed in the Miss Teen USA pageant were:
Jill Vasquez (New Mexico) became one of the directors of the Miss California USA pageant in 2007.
Jolene Stravrakis (Minnesota) placed first runner-up the Miss Minnesota USA 1988, and briefly held the title after the winner was arrested for shoplifting. She resigned days later when it was revealed she too had been arrested for shoplifting in 1986. In 1994 she won the title in her own right in her last year of eligibility after her criminal record was expunged.
Amy Jane Lantz (North Dakota) appeared as a contestant on Wheel of Fortune, which originally aired March 10, 1995.
This was the last year until 2009 that no former Miss Teen USA state titleholder managed to place.
Jennifer Gareis (New York) went onto play Donna Logan in The Bold and the Beautiful. She also made a brief cameo in Miss Congeniality as the lover of a Miss United States contestant who shouts from the audience.
Pat Southall (Virginia) went on to marry Bad Boys actor Martin Lawrence.