A poet, playwright and figurative painter, as well as a practising physician, Gieve Patel was a self-taught artist whose work was largely focused on urban life and environmental conservation.

Patel shifted his attention to the visual medium after the publication of his third book, in 1991, creating figurative paintings featuring a central protagonist. Deriving from the everyday urban landscape of Mumbai, his works often feature the working class and other marginalised sections of urban society. While he rarely attached a specific identity to any of these characters, he painted the figures in a way that suggested the pain and suffering caused by the inequalities of urban life in India.

In his series Looking into a Well: Full Moon, completed in 2001, Patel eliminated the human figure altogether, instead depicting the changing light and textures of the surface of water in the shallow wells of south Gujarat that he came across during his childhood visits to the region. Patel has also made sculptures and charcoal drawings, including a series inspired by the silent-era black-and-white film The Passion of Joan of Arc. His poetry collections include How Do You Withstand, Body (1976) and Mirrored, Mirroring (1991). He has also published three plays.