 It is one of the four major pageant systems for the art form, in addition to Continental Pageantry, Gay USofA Pageantry, and Entertainer of the Year.Miss Gay America is unique in that it is the only national pageant that prohibits contestants from using female hormones or having undergone any feminizing plastic surgery, such as breast implants or liquid-silicone injections below the neck.Lady Gaga on the 10th of September 2017, was crowned as the first Honorary Miss Gay America.