Anna-Maria Helsing has gained an outstanding reputation with leading Scandinavian orchestras and opera houses. From 2010 to 2013 Anna-Maria Helsing was Chief Conductor of the Oulu Symphony – the first-ever female conductor at the head of a Finnish symphony orchestra. Within a short time the Finnish conductor has conducted all the major Finnish and Swedish orchestras including the Finnish Radio Symphony Orchestra, Helsinki Philharmonic Orchestra, Tampere Philharmonic, Tapiola Sinfonietta, Finnish National Opera Orchestra, Royal Stockholm Philharmonic Orchestra, Gothenburg Symphony, Swedish Radio Symphony, Malmö Symphony, Norrköping Symphony Orchestra, Norwegian Radio Orchestra, Trondheim Symphony, Iceland Symphony and Odense Symphony.
She also conducted at the Royal Danish Opera and led the Royal Swedish Opera Orchestra, Gothenburg Opera Orchestra, Malmö Opera Orchestra, Norrlands Operan Orchestra, Västeras Sinfonietta, Nordic Chamber Orchestra, Estonian National Orchestra as well as the orchestras in Braunschweig, Jena and Hagen. In May 2018 she gave her acclaimed debut with the BBC Philharmonic.
Anna-Maria Helsing gave her debut at the Finnish National Opera with Adriana Mater by Kaija Saariaho in 2008. She led a number of first performances such as Momo at the Royal Danish Opera, Magnus-Maria by Katarina Eiriksdottir on tour in Scandinavia and Hallin Janne by Jukka Linkola with the Jyväskylä Sinfonia. She also led operas by Mozart, Cimarosa, Puccini, Mascagni, Madetoja and Bernstein at Tampere Opera and Savonlinna Opera Festival among others.