She was chairperson of Women's state commission in 2007. She was also President of India Women Lawyer, Karnataka State between 2007-2014. Pramila Nesargi has suggested and submitted various reports to the Government of Karnataka and Government of India on sensitive issues such as child labor, house and rent control, sexual violence at work, domestic violence and prisoners plight. She has also raised voice in organizing various unincorporated sectors. She also suggested to amend various laws offending women in Hindu and Mohammedan Law. She recommended revision in Criminal Procedure law, Evidence act, Cyber act and Right to Information act. As a member of the Education Committee, she has provided suggestions and policies that have been widely accepted in the arena of technical education (engineering), medical education and general education. During her tenure in the education committee, she has attended various functions related to the respective universities. During her tenure as MLA, she had held different positions in various capacities in the Government. She heads Samragni Swa Udyog Trust; whose primary function is to uplift skill in all women and special children. Nesargi holds a very strong bond with the literary field - Kannada Sahitya Parishad. She has felicitated several literary figures of Karnataka. Recognition  In August 2018 Power Brands awarded Pramila Nesargi the Bharatiya Manavata Vikas Puraskar for being one of India's most revered advocate-activists and a staunch negotiator for the law and all forms of legal reforms. For displaying exemplary political courage, leadership and acumen for the sake of the common man and for playing a stellar role in numerous seemingly insurmountable battles for a greener tomorrow.