After her return to Lanchkhuti, Tsintsadze continued to perform as a rider. She also developed a medical practice, using herbs and extracts as a folk healer, following recipes from a "Karabadin", a medical guide. In the 1920s, after the Democratic Republic of Georgia was invaded by the Soviet Army, it became dangerous to have an association with the United States. Tsintsadze burned all of the evidence of her involvement with the Wild West shows.