Siti Sarah's talent in the music industry was first discovered at the Bintang URTV 2001 competition at the East Zone level where she was the champion after singing the Indonesian song, "Ku Akui".
Produced by KRU and released in January 2005, the song is specially dedicated to the victims of the 2004 Indian Ocean earthquake and tsunami and was officiated by the then Deputy Prime Minister, Najib Razak.
Other artists involved in the project were Akademi Fantasia participants, Erra Fazira, Dayang Nurfaizah, Alleycats, Jaclyn Victor, AC Mizal, Spider, Ning Baizura and Anita Sarawak.
[citation needed] Siti Sarah participated in the reality competition for the second season of One in a Million which saw recording artists including her compete with new faces to raise RM1,000,000 as music career funding.
[13] In 2009, Siti Sarah participated in an international competition, the World Championship of Performing Arts (WCOPA), gaining 3 gold medals to Malaysia.
[14][15][16] She was also involved in acting, starring in the film Man Sewel Datang KL (2011) alongside her husband, Shuib Sepahtu.
She also remained Top 2 for the next 2 weeks through the song "Teratai Layu di Tasik Madu" (originally performed by Fauziah Latiff) and Joget Sayang-menyayang (Anita Sarawak).
The action was done through a TikTok video recording from the account of famous salon owner Ridzo Kumura which was posted by a Twitter user.
[31][32] In February 2021, Sarah and her husband, Shuib were fined RM1,000 each after being found to have violated the standard operating procedures (SOPs) of the imposed Movement Control Order (MCO) during the COVID-19 pandemic in Malaysia at food premises in Kuala Lipis, Pahang.