Katharine Carl was contacted by Sarah Pike Conger, the wife of American Ambassador Edwin H. Conger with an offer to come to China in the summer of 1903 to paint a portrait of the Empress Dowager Cixi for the Chinese exhibit at the 1904 Louisiana Purchase Exposition. She spent a total of nine months in China and painted four portraits of the Empress Dowager, later recording her memories as the only western foreigner to live within the precincts of the Chinese imperial court in its last days in a book that was published in 1906.