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As of 2018, Lydia Cacho has written twelve books, ranging from poetry to fiction, and including a Manual to prevent child abuse, essays on gender issues and love, and her international best sellers about Sex trafficking, Human Slavery and the relationship between child pornography and child sexual abuse like Slavery Inc.: The Untold Story of International Sex Trafficking , published in the U.K. Her books have been translated into French, English, Dutch, Portuguese, Italian, German, Croatian, Swedish, and Turkish.

In 2017, Cacho was awarded the Distinguished Leadership Award for the Defense of Human Rights by the Inter-American Dialogue.

Cacho is the winner of numerous international awards for her journalism, including the Civil Courage Prize, the Wallenberg Medal, and the Olof Palme Prize. In 2010, she was named a World Press Freedom Hero of the International Press Institute.

In 2009, Cacho was awarded the Wallenberg Medal from the University of Michigan for her work to bring to public attention to the corruption that shields criminals who exploit women and children. Cacho was a recipient of the PEN/Pinter Prize as an International Writer of Courage in 2010, which goes to writers persecuted for their beliefs. She was also named a World Press Freedom Hero of the International Press Institute.

In May 2008, a few days before she was scheduled to testify at Kuri's trial, Cacho was almost killed when the lug nuts on one of her car's wheels were loosened.

Cacho took the case of her arrest to the Supreme Court, becoming the first woman in Mexico's history to testify there. On 29 November 2007, the Court ruled 6 to 4 that Marín had no case to answer in Cacho's arrest, jailing and harassment, a case that The New York Times described as "a setback for journalistic freedom in Mexico".

In 2007, Lydia Cacho received the Amnesty International Ginetta Sagan Award for Women and Children's Rights, the IWMF (International Women's Media Foundation) Courage in Journalism Award, and the Oxfam Novib/PEN Award. The following year, she received the UNESCO/Guillermo Cano World Press Freedom Prize.

On 14 February 2006, several telephone conversations between Nacif Borge and Mario Marín, governor of the state of Puebla, were revealed by the Mexico City daily La Jornada. In these conversations, before Cacho's arrest, Marín and Nacif Borge discussed putting Cacho in jail as a favour, and having her beaten and abused while in jail to silence her. The recording sparked widespread calls for Marín to be impeached.

In 2006, Cacho reported on the hundreds of female homicides in Ciudad Juárez.

Her book Los Demonios del Edén (in English: The Demons of Eden) (2004) created a nationwide scandal by alleging that several prominent businessmen had conspired to protect a pedophilia ring. In 2006, a tape emerged of a conversation between businessman Kamel Nacif Borge and Mario Plutarco Marín Torres, governor of Puebla, in which they conspired to have Cacho beaten and raped for her reporting.

In 2003, Cacho wrote articles on the sexual abuse of minors for the newspaper Por Esto including a note on a girl abused by a local hotel owner, Jean Succar Kuri. Feeling that the local police had failed to act on the girl's complaint, the following year, Cacho published the book Los Demonios del Edén (in English: "Demons of Eden") in which she accuses Kuri of being involved in a ring of child pornography and prostitution, based on official statements from his alleged victims and even a video of him (filmed with hidden camera). The book also mentions important politicians Emilio Gamboa Patrón and Miguel Ángel Yunes as involved, and accuses Kamel Nacif Borge, a Puebla businessman, of protecting Succar Kuri.

Shortly afterwards, in 1999, she was assaulted and raped by a man in a bus station bathroom who broke several of her bones. Cacho believes that the attack was a retaliation for her investigations. She continued her investigations, however, and the following year founded a shelter for battered women.

Lydia María Cacho Ribeiro (born 12 April 1963) is a Mexican leftist journalist, feminist, and human rights activist. Described by Amnesty International as "perhaps Mexico's most famous investigative journalist and women's rights advocate", Cacho's reporting focuses on violence against and sexual abuse of women and children.