Her HBO documentary, Diary of a Political Tourist, was accompanied by her first book Sneaking into the Flying Circus: How the Media Turn Our Presidential Campaigns into Freak Shows, about the process of selecting candidates for President of the United States.

She stated that her conversations with Candy Crowley of CNN, Howard Dean, and Wesley Clark inspired her to write a book.

[7] Los Angeles Times critic Mary McNamara favorably reviewed the documentary, writing that "this heartbreaking little film that may wind up being the most powerful indictment of homophobia since Brokeback Mountain."

[17] In a profile in Vogue, Pelosi calls her film a "light romp into the road map of the people and places that are funding our elections."

[18] Uproxx described it as watching "Pelosi meet with an assortment of billionaire donors, asking them why they give millions to candidates, how this funding affects campaigns, and all the access these hefty donations can get you."

It closes with middle-school children from the United Nations International School reading the Bill of Rights and summaries of the other amendments.

[23] Reviewing the documentary for The New York Times, critic Shawn McCreesh wrote, "Though she is Democratic royalty, Ms. Pelosi has spent much of her career dissecting, with compassion, the psyche of the political right in America.

[29] In 2023, Pelosi directed The Insurrectionist Next Door for HBO, featuring candid interviews with those who were charged with crimes participating in January 6 United States Capitol attack.

[30][31] On October 13, 2022, footage taken by Alexandra Pelosi was included within the Public hearings of the United States House Select Committee on the January 6 Attack.

Democratic leaders evacuated included House Speaker Nancy Pelosi and her senior associates Steny Hoyer and James Clyburn.

[33] Videos recorded by Alexandra Pelosi during those hours showed desperate phone calls imploring government officials to come to the defense of members of Congress, and were released by the committee in October 2022.