Miss World USA 1969 was the 8th edition of the Miss World USA pageant and it was held in the Baltimore Civic Center in Baltimore, Maryland and was won by Gail Renshaw of Virginia.

She was crowned by outgoing titleholder, Johnine Leigh Avery of Washington.

Renshaw went on to represent the United States at the Miss World 1969 Pageant in London later that year.

After competing at Miss World, Renshaw resigned her title to get married.

Renshaw was replaced by Connie Lee Haggard of Texas who was the 1st Runner-Up of Miss World USA.