She is currently an Executive Board member of the International Child Neurology Association ICNA (2104 onwards), and is involved with many of the activities of ICNA. She chairs the International Review of Child Neurology series committee in ICNA. Lakshmi is the national delegate to AOCNA from Australia. Prof Nagarajan was previously on the ANZCNS board, and a Vice President of the Epilepsy Society of Australia. She was the HOD, Neurology at the Princess Margaret Hospital for Children, Perth, from 2006-2016. She has contributed and participated in several committees and advisory boards relating to epilepsy, child neurology, cerebral palsy, at the Children’s Hospital in Perth, as well as nationally and globally.