She is also one of the founders of the Indus Valley School of Art and Architecture in Karachi, and has been a member of the Higher Education Commission for the Government of Pakistan.

As a visual artist, Bilgrami has had group and solo shows at national and international venues. She has traveled extensively and lectured at universities and museums in the United States, Canada, Scandinavia, Australia, the Middle East, India and Japan.

Bilgrami engaged in a dynamic artist residency at Shangri La in May 2017. During her residency, she installed an exhibition titled “Under the Molsri Tree” at the Honolulu Museum of Art (May 18-September 3, 2017) and participated in community programs and workshops.