[7][8][9] Paraguay made its debutant at Miss Grand International in 2013, with the representation of a Asunción-based fashion model Sendy Cáceres, followed by Giselle Sotomayor in 2014, but both of them finished as non-placement.

[12][10] Its final coronation event was broadcast on La Tele,[12][13][10] in which Lía Duarte Ashmore of Guairá won the main title, she was also placed among the top 20 finalists after participating in the 5th edition of Miss Grand International in Vietnam.

[15][16] The pageant, originally scheduled to be held on 15 March, was canceled for the first time in 2020, resulting from the spike of SARS-CoV-2 Delta variant positive cases in Paraguay.

The organizer decided to appoint Daisy Lezcano of Isla Pucú, one of the pageant candidates, to participate at the international stage.

[17] In 2022, Kendal Hirschfeld, also known as La Comadre on social media, became the first openly transgender to compete for the Miss Grand Paraguay title.