For her work in activism, she has received the Rajyotsava Prashasti, the second highest civilian honor of the state of Karnataka, and an honorary doctorate from the Indian Virtual University for Peace and Education.
[7] She spoke in an interview about how her parents would get angry and chide her every time she used to wear her sister's clothes or play with girls, which resulted in making her childhood a really confused one.
Padmashali, in the company of other trans persons, realized that government policies weren't in favor of the transgender community and they face harsh inequality on various circumstances.
[7] On 1 November 2017 when former US President Barack Obama came for his visit to India, Akkai Padmashali was the first trans woman to be invited to be a part of the Town Hall.
Padmashali has filed a petition in the Supreme Court of India against Section 377 stating that the colonial law is violative of the constitutional rights as well as the 2014 NALSA judgment.
[citation needed] Padmashali has spoken out about the impacts of gentrification in Bangalore on sex workers and the LGBT community, specifically the increased prices, criminalization, and barred entry to public spaces such as Cubbon Park.