Akiko Sasaki is recognized for her versatility as a kotoist. Sasaki performs various styles of music from traditional Japanese folk/court music, to contemporary koto repertoire, to collaborating with various world musicians, and  improvising with musicians of New York City's jazz and avant-garde scene, such as Jesse Stacken (piano), Gerald Cleaver (drums), Yukari Watanabe (flute), and Sean Ali (bass).  She has appeared in concert at venues such as Roulette, The Stone, The Rubin Museum, Chelsea Museum, I-Beam, The Brooklyn Botanical Garden, New York Botanical Garden, Venderbilt Hall, River Side Church Concert Series, Stony Brook University, Rutgers University, and many Japanese festivals and international cultural events throughout the New England area.  

Sasaki is a member of the Miyabi Ensemble and often performs with the prestigious koto master Masayo Ishigure, one of the leading koto masters of the United States, with whom Akiko has studied privately.  She has also collaborated with various world musicians, combining cultural music traditions, performing fusion world music with Arabic/Turkish Ney and Oud, and Korean Daegeum and Gayageum.  Sasaki enjoys working with composers and has premiered new compositions for koto by Miya Masaoka and Seungmin-Cha.