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Once a year a group of elderly women meets in Fall River, a small village south of Boston, to answer the fairy tale yet still modern age old question: Who is the prettiest in the land? There are many beauty pageants, but just one Ms. Senior Sweetheart competition: this pageant is the only one in the world for women aged 58 and up. Since 1978 the pageant has invited women from all over America to spend 11 days in Fall River, starting with dress rehearsals, practicing their group performance and excursions around New England. The contest peaks with the "Ladies Ball" and the crowning of the new queen.
The film follows three of the contestants on their way to the pageant and tales of getting older, staying young, facing death and a lust for life.

Locations: US-Virgin Islands, Florida, Massachusetts