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Her work revolves around childhood memory, women’s craft, folk art and Indian myths. Although her inspirations are traditional, her style is contemporary as she was greatly influenced by Paul Klee. It represents folk art but does not draw from any one specific folk tradition.
In 1957, at the age of fifteen, she married Manu Parekh, an Indian artist who studied at the JJ School of Art. They moved first to Ahmedabad, then Mumbai where she did a course in Montessori training. In 1964, they then moved to Kolkata where they lived to 1965 before moving to New Delhi.
Initially, Madhvi Parekh did not aspire to become an artist herself but her husband Manu inspired her to take up art. She started painting in the 1960s while pregnant with their first daughter, Manisha. In 1968, Madhvi exhibited her work for the first time at the Birla Academy in Kolkata. One of her paintings was selected to be in the annual show of Lalit Kala Akademi and then purchased by the national institution helping to launch her career. In 1973 she had her first solo show at the Chemould Art Gallery, Kolkata.
Madhvi Parekh started painting by depicting memories of her childhood and fantasy. Her paintings are vivid and surreal. She started painting in traditional folk style and later gradually moved towards oil and acrylic on canvas and watercolor on paper, which allowed her the freedom to broaden her artistic imagination as well as find a language to express her views on women, children, urban and rural.
Her daughter, Manisha Parekh is also a well noted Indian artist. 
Madhvi Parekh's early works have been inspired by narratives and folk stories from her childhood spent in a rural part of India. Traditional floor designs of Rangoli made art a part of everyday household ritual for Madhvi, and this morphed in the first introduction to early forms of painting. In the initial days of their married life, artist-husband, Manu Parekh gifted Madhvi a book called Pedagogical Sketchbook by Paul Klee, a Swiss German artist  which formed an early influence on her style. Parekh's influences also include the Italian contemporary artist Francesco Clemente.
Beginning with many solos, Madhvi participated in notable group shows such as, Play Turkey and Yugoslavia in 1985, Watercolours by Four Women Artists, Bharat Bhavan, Bhopal in 1987 and Jehangir Art Gallery, Mumbai in 1987.
Awards and Recognition
|Year||Award / Recognition|
|2017||Kailash Lalit Kala Award|
|2003||Whirlpool Women's Achievement in the World of Fine Art|
|1989-91||Government of India Senior Fellowship|
|1989||Fund for Artist Colones, Residency Fellowship at Fine Arts Work Center, Provincetown, MA|
|1989||USIA Fellowship for extensive travel in USA|
|1979||National Award from Lalit Kala Akademi, New Delhi|
|1970-72||French Government Scholarship for Fine Arts to study in Paris|
- The Curious Seeker I Madhvi Parekh: Retrospective, DAG Delhi, Mumbai and New York I Sept 2017 - Oct 2019
- The Last Supper, The Seagull Foundation for the Arts in Kolkata, New Delhi I 2011 - 2013
- Through the Looking Glass: Watercolours with Arpita Singh, Nalini Malani and Nilima Sheikh in Bhopal, New Delhi, Bombay and Bangalore I 1987 - 1989
- The Self and the World, presented by Gallery Espace at the National Gallery of Modern Art (NGMA), New Delhi I 1997
- Singh, Kishore, ed. (2017). Madhvi Parekh: The Curious Seeker , New Delhi: DAG Modern. ISBN 978-93-81217-65-8.
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- Milford-Lutzker, Milford-Lutzker (Fall 1999). "Intersections: Urban and village art in India". Art Journal. New York. 58 (3): 22–30. doi:10.1080/00043249.1999.10791950.
- 1942-, Parekh, Madhvi (2017). Madhvi Parekh : the curious seeker. Sinha, Gayatri,, Garimella, Annapurna,, Singh, Kishore, 1959-, Delhi Art Gallery. New Delhi, India. ISBN 9789381217658. OCLC 1004674042.CS1 maint: numeric names: authors list (link)
- Khurana, Chanpreet. "Dots and dashes: How artist Madhvi Parekh developed her own language to tell stories of her youth". Scroll.in. Retrieved 3 March 2018.
- 1942-, Parekh, Madhvi (2017). Madhvi Parekh : the curious seeker. Sinha, Gayatri,, Garimella, Annapurna,, Singh, Kishore, 1959-, Delhi Art Gallery. New Delhi, India. p. 75. ISBN 9789381217658. OCLC 1004674042.CS1 maint: numeric names: authors list (link)
- The Self & The World , an exhibition of Indian Women Artist. 1997. p. 43.
- "Manisha Parekh". Saffronart. Retrieved 20 March 2021.
- "MADHVI PAREKH | Discover DAG". discoverdag.com. Retrieved 3 March 2018.
- "Here's why Madhvi Parekh is an artist of her own making". India Today. 4 November 2017. Retrieved 3 March 2018.
- "Madhvi Parekh - Art Heritage | Art Gallery New Delhi". Art Heritage | Art Gallery New Delhi. Retrieved 3 March 2018.