Kirsten made his Test debut against Australia in Melbourne in 1993. He retired from international cricket in 2004 after crafting a match-winning 76 in his final innings, against New Zealand. Against the same country he had made history by becoming the first-ever Protea to play in 100 Test matches.
Over the years, he gained a reputation as being a sturdy batsman in both Test cricket and One Day cricket. He could up the tempo of an innings if he needed to, but more often than not he simply waited for the bad ball, much like Steve Waugh and Justin Langer. He was also a reliable fielder. Kirsten held the South African records for most runs and centuries in a Test career, before both were surpassed by Jacques Kallis. He was the first Test batsman to make hundreds against each of the other 9 Test nations. He scored 275 runs against England as a result of batting for over 14 and a half hours as South Africa followed on at Kingsmead, it still stands as the second-longest innings (in terms of duration) in Test history. The high score was later surpassed by Graeme Smith when he made 277 against England in 2003. He still holds the record for highest innings by a South African in a One Day International; 188 not-out made against the United Arab Emirates during the 1996 World Cup, which is the tenth highest innings of all time in One Day International cricket, and the highest score in World Cup cricket history.
After retirement, Kirsten organized his own cricket academy in Cape Town. In November 2007, it emerged that Kirsten was a candidate for the vacant post of coach of the India team. The BCCI offered him a two-year contract for the post, and despite voicing reservations about concerns he had about having the full support of India players, he confirmed he would be taking the job on 4 December.
He officially started as coach on 1 March 2008. However, he travelled to Australia with India beforehand during the test series. His first full series in charge was against his home country, South Africa in March–April 2008 which was drawn 1–1. Also, he coached India to the finals of the Kitply Cup and 2008 Asia Cup (India lost both the finals). During his tenure as Coach of India, Indian cricket team won a home series against Australia beating them 2–0. Apart from clinching the Border-Gavaskar trophy, he also coached India to its first bilateral series win in Sri Lanka against Sri Lanka and India's first Test and One-Day International series victories against New Zealand in New Zealand after 40 years. India also won the Compaq Cup, defeating Sri Lanka in the finals on 14 September 2009 by 46 runs. A highly accomplished batsman himself, he has brought in a considerable amount of improvement in the batting performances, which is largely associated with his ability to instill better confidence among younger players.
Gary Kirsten has been praised by all players for improving/enhancing their playing techniques, motivating them and discussing tactics that can be deployed on the field. The results could be clearly seen within months. He is considered the key force behind the clearly visible performance improvement in all players. In 2010, Prior to the start of India's tour of South Africa, Indian captain M.S. Dhoni described him as "The best thing to happen to Indian cricket."
After the tour of South Africa, which India drew 1–1 in the Test series lost 3–2 in ODIs, Kirsten announced he would not renew his contract with BCCI because of family commitments. Kirsten often stated that he wanted to spend time with his two growing sons, Joshua and James, and wife and said three years away from home was long enough. Immediately after the announcement Kirsten was linked with joining South Africa as their coach as the South Africa coach Corrie van Zyl also announced his contract would end after the World Cup as well. Kirsten ended his tenure as coach after India won the 2011 Cricket World Cup defeating Sri Lanka by 6 wickets and 10 balls to spare on 2 April 2011 at Wankhede Stadium in Mumbai, India. During the celebration, he was carried around the ground by Suresh Raina, Yusuf Pathan and Virat Kohli to show their respect.
Gary Kirsten cleared the air of any rumours about a renewal in contract by adopting a modest approach on his further availability as coach to the Indian team by stating that he wanted to say goodbye to India to spend time with his family.
On 5 June 2011 Kirsten was appointed the full-time coach of the South Africa national cricket team for a term period of two years. His first decision was to name AB De Villiers as the new captain for the limited overs game, replacing Graeme Smith who remains as the Test side captain. Kirsten began his term as coach on 1 August and his first assignment was a home series against Australia. He took over from Corrie van Zyl, who was an interim coach for 14 months after Mickey Arthur resigned following the home series against England in 2009–10. Under Kirsten, in August 2012, the South African team reached number 1 in the ICC Test rankings, by defeating England 2–0.
He did not renew his contract with Cricket South Africa (CSA) and has step down as the coach of the national team in August 2013 citing family commitments. He has been signed as the head coach of the Delhi based IPL team Delhi Daredevils for a three-year contract beginning from the IPL's seventh edition. 
In 2007, Kirsten joined Paddy Upton and Dale Williams to form a company called Performance Zone. The focus of the company is to work with individuals and teams in business and sport, bringing out their clients' best performance. When Kirsten was appointed Indian coach and Upton Indian Mental conditioning coach on a two-year contract, they decided to continue the business. Its first project, post Kirsten taking on the Indian coach role, is the creation of garykirsten.com.