The music video for "Pretty Girls" premiered on May 13, 2015, and was directed by Azalea and Cameron Duddy. The visuals were inspired by the 1988 film "Earth Girls Are Easy", starring Geena Davis. The song was performed live by Spears and Azalea for the first time on May 17 at the 2015 "Billboard" Music Awards. Later that year, it was added to the setlist for Spears' Las Vegas residency show, .