On April 22, 2015, "Billboard" and Dick Clark Productions confirmed Spears and Azalea would be performing "Pretty Girls" for the first time on television at the 2015 Billboard Music Awards from the MGM Grand Garden Arena in Las Vegas on May 17. Azalea described the performance as a kind of a continuation from the music video, with both Spears and Azalea going to Azalea character's planet, along with other creatures. The performance received mostly positive reviews from viewers and critics. "People" said that Spears and Azalea proved they are more than just "pretty girls". Stating "From the moment they touched down on stage, the duo kept the crowd cheering with a fun, colorful performance." "Entertainment Weekly" also said that "Spears gave one of her most energetic televised performances in years." On May 13, Spears confirmed that she would be adding the song to her Las Vegas residency show . The song was officially integrated into the set list on August 5, 2015. It was later replaced by "Make Me..." and "Do You Wanna Come Over?" on August 17, 2016 following the show's revamp.