[2][3] Pagarusha gained acclaim as a recording artist in Kosova and neighbouring countries for her distinct soprano vocal range, which she displayed performing various Kosovan folk songs during her career, which spanned 36 years, from 1948, in her debut in Radio Prishtina, to 1984, in her final concert in Sarajevo.

Her musical creative work lasted for almost 40 years, and due to the contrast in genres she performed in, it is not easy to define Pagarusha as a specific type of singer.

Pagarusha was given titles such as Bilbili i Kosovës (Nightingale of Kosovo), Queen of Kosovar music, and Madame Butterfly.

In 2000 she sang a song called "Për ty" (For You) in an Albanian TV show, after 16 years of absence.

She was awarded the "Honor of the Nation" decoration (Albanian: Nderi i Kombit) by the President of Albania Bujar Nishani in November 2012.