She has been called the "lady of the lake" of porn, in that she embodies the myth of the promiscuous woman willing to have sex with anyone at any time. In 2005, Ava had what she called "malpractice surgery (surgery gone bad)" which put a hold on her film career. In October 2005, she underwent breast reduction surgery and had a lift, reducing her bust to 36DD. She resumed working in Jan 2006 with plans to continue.
In 2005, she won a prestigious AVN award in the category Best Oral Sex Scene for her performance in Francesca Le's Cum Swallowing Whores 2. Presently, Ava is represented by LA Direct Models.