In 2004, she gave her first public performance after she was motivated by her experience of racism to write a poem.[5]
In 2009 Ziadah released her first spoken word album, Hadeel.[6] Ziadah produced Hadeel with a grant from the Ontario Arts Council within their Word of Mouth program in 2008.[7] Ziadah has traveled to countries all over the world to perform and conduct poetry workshops.[6] In 2011, Ziadah performed with Palestinian-American poet, Remi Kanazi in London, UK as part of the tour for his book, Poetic Injustice.[8] In 2012, Ziadah was chosen to represent Palestine at the South Bank Center Poets Olympiad.[6] In the same year, she performed at the World Village Festival in Helsinki.[9] During the summer of 2014, Ziadah contributed an opinion piece for The Guardian regarding the 2014 Gaza War and the Boycott, Divestment, and Sanctions movement.[10] On November 14, 2014 Ziadah performed at a benefit concert for Palestine with Palestinian Hip hop group, DAM-Palestine sponsored by Manchester Palestine Action.[11] Rafeef Ziadah is well known for her poems "Shades of Anger"[12] and "We teach life, sir".[2] Ziadah's poem "We teach life, sir" became the inspiration for a photography show for display inside the Scottish Parliament.[13] The exhibit was titled, "We Teach Life: The Children of the Occupation."[13]