FOXNews.com talked to former pageant winners, pageant officials, and doctors who say surgical enhancements are par for the course at many pageants, and keeping one's pageant-perfect physique post-competition can be next to impossible.

A source close to the Donald Trump-owned Miss Universe Organization tells FOXNews.com that not only is elective surgery allowed, but it is quietly encouraged. "In many of the countries, from the time she wins (the national title) to the time she goes to Miss Universe, she basically goes through a witness protection program, she is sketched up, and totally changed," the insider said.

"Several of the Miss USA winners also get surgery done outside of the office knowing," the source adds.