In 2002, she completed an MA in Image and Communication at Goldsmiths College, University of London and lectured on photography at the American University in Cairo between 2002 and 2003.
In 2004, she co-founded the Contemporary Image Collective - CiC, an artist independent initiative dedicated to photography and video, based in Cairo.
In 2006, she completed a two-year residency at the Rijksakademie Van Beeldende Kunsten in Amsterdam. Recently, Elkoussy has exhibited at Goteborg Konsthall, Sweden, Sharjah Biennial, UAE, Kunsternes Hus, Oslo, The Townhouse Gallery, Cairo and the Stedelijk Museum, Amsterdam. She lives and works in Cairo and Amsterdam.