Louise Fishman attended the Philadelphia College of Art between 1956 and 1957. In 1958, she attended the Pennsylvania Academy of the Fine Arts in Philadelphia. She went on to receive her B.F.A. and B.S. at the Tyler School of Art in Elkins Park, Pennsylvania, and in 1965 she secured her M.F.A. from the University of Illinois at Urbana–Champaign.
She exhibited only occasionally in the 1960s, a period in her life when she produced primarily grid-based work. During the later 1970s her abstract work was linked with Pattern painting. Large scale works like Grand Slam (1985) and Cinnabar and Malachite (1986) reflected her bold visions, and caused many reviewers to label her work as having elements of neo-expressionism.
In 1980, she was one of the ten invited artists whose work was exhibited in the main event of the Great American Lesbian Art Show.
As the feminist movement gained strength in the 1970s, Fishman abandoned her minimalist-inspired, grid-like paintings and began making work that reflected women's traditional tasks. These pieces required the sort of repetitive steps that characterize activities like knitting, piecing, or stitching. Returning later to the masculine realm of abstract painting, Fishman still sought a way to distinguish what she was doing from the work of male artists, both historic and contemporary. The resulting compositions combine gestural brushwork with an orderly structure.
In 1988, Fishman accompanied a friend who survived the Holocaust at both Auschwitz and Terezin. This trip was part of a larger one that took her to Warsaw, Prague, and Budapest. This trip had a dramatic impact on her life as an artist, altered her way of working, and helped her to "investigate her Jewish identity. She returned with ashes, cremated human remains – from Auschwitz. She mixed the ashes with beeswax to use in her paints for the series Remembrance and Renewal. These paintings served as abstract art as well as memorials to a tragic and obscene event in history.
In the early 1990s she returned to painting grids in a slightly altered format. This can be seen in works such as Sipapu (1991) and Shadows and Traces (1992)