Mexicana Universal Sinaloa is a pageant in Sinaloa, Mexico, that selects that state's representative for the national Mexicana Universal.

The State Organization has produced three Nuestra Belleza México in 2003 with Rosalva Luna, 2006 with Rosa María Ojeda and 2017 with Denisse Franco, two Nuestra Belleza Mundo México in 2000 with Paulina Flores and 2008 with Perla Beltrán and two Nuestra Belleza Internacional México in 1999 with Lynette Deldago and 2008 with Laura Zúñiga, but these crowns are not taken into account because later Lynette resigned and Laura was dethroned.

Below are the names of the annual titleholders of Mexicana Universal Sinaloa, listed in ascending order, and their final placements in the Mexicana Universal after their participation, until 2017 the names was Nuestra Belleza Sinaloa.

As of 2000, isn't uncommon for some States to have more than one delegate competing simultaneously in the national pageant.

Some have placed higher than the actual State winners.