[1] In her short stories and novels she has highlighted women's issues, gender conflict and lesbian rights.

[2] In 2004 she won Sahitya Akademi Golden Jubilee Award for her contributions to Indian literature[3] She is also a translator from Malayalam to English and vice versa.

[7][8] She has written several best-selling books in Malayalam which include "Kathakal", "Idam", "Veshappakarcha" and "Ushnagrahangalude Sneham".

[10] Her stories capture the complexities of modern life from women's perspective and have an angry and defiant tone.

[15] Sithara's works were recognised by Sahitya Akademi which conferred on her its golden jubilee prize in 2004.