Pattammal was also the first woman to have performed Ragam Thanam Pallavi in concerts. Ragam Thanam Pallavi, which was classed as a male stronghold, is the most difficult concert item in Carnatic music, as it calls for great skill and a high degree of concentration to handle the rhythmic complexities involved. Pattammal went further to perform very complex Pallavis in intricate talas (rhythmic cycles); impressing and earning the respect of her male peers, connoisseurs and fellow-musicians. Her singing of pallavis was technically perfect, and aesthetically pleasing. For this reason, she became dubbed "Pallavi Pattammal". She learnt a few pallavis and compositions from Naina Pillai, and several from Vidyala Narasimhalu Naidu, the nephew of Tirupati Narayanaswami Naidu, a prominent composer of javalis. Today, many female Carnatic musicians perform Ragam Thanam Pallavi as the main item in their concerts.