- 1985: Whitbread Prize for a First Novel for Oranges Are Not the Only Fruit
- 1987: John Llewellyn Rhys Prize for The Passion
- 1989: E. M. Forster Award for Sexing the Cherry[26]
- 1992: BAFTA Award for Best Drama for Oranges Are Not the Only Fruit TV serial[27]
- 1994: Winner, Lambda Literary Award for Lesbian Fiction, for Written on the Body
- 2006: Officer of the Order of the British Empire (OBE) in the 2006 New Year Honours, for services to literature[28]
- 2013: Winner, Lambda Literary Award for Lesbian Memoir or Biography, for Why Be Happy When You Could Be Normal?[29]
- 2014: St. Louis Literary Award[30][31]
- 2016: Chosen as one of BBC's 100 Women.[32]
- 2016: Elected Fellow of the Royal Society of Literature[33]
- 2018: She presented the 42nd Richard Dimbleby Lecture in celebration of 100 years of women's suffrage in the UK[34]
- 2018: Commander of the Order of the British Empire (CBE) in the 2018 Birthday Honours, for services to literature[35]
- 2019: Longlisted for the Booker Prize for Frankissstein: A Love Story[36]
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