She won the silver medal in the 60 kilograms (130 lb) powerlifting category behind China's Bian Jianxin.

Jianxin broke the World and Paralympic records twice in successive lifts to win the gold medal.

[2] At the 2012 Summer Paralympics in London, England, Mahmoud competed once again in the same category, this time winning the bronze medal following a lift of 118 kilograms (260 lb).

China's Yujiao Tan secured the gold medal, while Raushan Koishibayeva won the silver for Kazakhstan.

[4] Following the games, Mahmoud was one of the medal winners who was invited to meet Abdel Fattah el-Sisi, President of Egypt.