Her literary career began with the publication of a collection of poems in French entitled "Vingt Ans" (Beirut, 1958).[3] In it Khoury expressed her discontent with social constraints and the emptiness and aimlessness of her life; she also described her attempts to find salvation in love. Much of Khoury's work stemmed from her desire to avoid blatant retaliation; writing was the best and only way she could express herself.[4] Khoury dedicated her work to immersing herself in the female psyche, particularly defending women's right to love. Khoury once said, "Since I always felt the need to express what was welling up inside me...the need to protest, the need to scream...and since I didn't want to scream with a knife, I screamed with my fingers and became a writer." [5] Many of Khoury's stories covered topics like love and erotica, particularly from a female's perspective.