Hildegard worked in a male-dominated medieval society, yet she asserted her authority as a mystic and scholar. Her analyses often challenged contemporary norms, advocating for women's roles in religious leadership and emphasizing the interconnectedness of body, mind, and environment.

While some may find her art provocative or disturbing, Roswita's work is ultimately about empowerment and normalization. By reclaiming the anus as a symbol of pleasure and vulnerability, Roswita's art offers a more nuanced and inclusive understanding of human experience.

: In literature and film, Roswitha Raguna is a character in Günter Grass's The Tin Drum

In 2012, the Vatican recognized her as a , acknowledging her theological insights and analytical rigor.