In 1981, Alvi was Chairman of the first Pakistan International Dental Conference. In 1987, he became Chairman of the Third Pakistan International Dental Conference. He became Patron of the Fifth Pakistan International Dental Conference.[10] In 1997, Alvi became a Diplomate of theAmerican Board of Orthodontics. He prepared the constitution of the Pakistan Dental Association and went on to become its president. He also served as Chairman of the 28th Asia Pacific Dental Congress.[4][11]
Alvi began his political career as a polling agent and joined a religious party.[12]
With Imran Khan in 2018 during the PTI's election campaigning process
While studying atDe'Montmorency College of Dentistry, he became an active member of the student unions.[13] He became politically affiliated withIslami Jamiat Talaba, a student wing ofJamaat-e-Islami Pakistan (JI)[14] and went on to become president of the student union.[15][16] In an interview, he told that during his early days, he was a critic of theAyub Khan regime and was shot twice while participating in a protest in 1969 atThe Mall, Lahore; a bullet still remains lodged in his body.[3]
He ran for a seat on theProvincial Assembly of Sindh as a candidate of the JI from a constituency in Karachi in 1979[13][17][18] but was unsuccessful.[4][5][11] In 1988, he quit JI and left politics.[5] According to Alvi, he left the party because he had become disillusioned with their narrow focus on politics and had "always felt honest leadership is the real solution to Pakistan’s problems".[12]
After getting inspired byImran Khan, he joinedPakistan Tehreek-e-Insaf in 1996[3][13] and became one of the founding members of the party.[12][19] He participated in preparing the party constitution of PTI.[4]
He remained a member of the PTI central executive council for a year before becoming president of PTI's Sindh chapter in 1997.[20]
Alvi ran for the seat of the Provincial Assembly of Sindh as a candidate of PTI from Constituency PS-89 (Karachi South-V) in the1997 Pakistani general election, but was unsuccessful.[20] He came in third receiving 2,200 votes and lost the seat toSaleem Zia.[5][21][22]
He ran for the seat of the Provincial Assembly of Sindh as a candidate of PTI from Constituency PS-90 (Karachi-II) in the2002 Pakistani general election, but was unsuccessful.[9][20] He came in at sixth place securing 1,276 votes and lost the seat to Umer Sadiq, a candidate of theMuttahida Majlis-e-Amal (MMA).[22][23]
In 2006, he became secretary general of PTI, a position he served in until 2013.[20][24][25]
During the2014 Tsunami March, police invoked the Anti-Terrorism Act against Alvi and several other PTI leaders for allegedly inciting violence.[30] He was implicated in cases stemming from the 2014 attacks onParliament House andPakistan Television Corporation (PTV).[31] On one occasion, Alvi and other PTI leaders went to the police station and forcibly secured the release of a PTI lawmaker from jail and were also accused of assaulting the policemen present.[32] In 2018, The Anti-Terrorism Court (ATC) granted pre-arrest bail to PTI leaders, including Alvi, in cases related to the 2014 attack on Parliament House and PTV.[33]
In 2016, he was made president of the PTI Sindh chapter.[19]
On 18 August 2018, he was nominated by PTI as its candidate for the office ofPresident of Pakistan.[37] On 4 September 2018, he was elected as13th President of Pakistan in the2018 Pakistani presidential election.[38] He received 352 electoral votes and defeatedFazal-ur-Rehman andAitzaz Ahsan who secured 184 and 124 votes, respectively.[39][40] Upon getting elected as the President, Alvi thanked Prime Minister Imran Khan, and the government coalition for their support.[41] He became the thirdPresident of Pakistan whose family migrated to Pakistan from India after thePartition of India.[2] On 5 September 2018, he relinquished his National Assembly seat.[42] On 9 September, he replacedMamnoon Hussain and was sworn in as 13th President of Pakistan.[43] On 17 September, he addressed the National Assembly for the first time in his capacity as president.[44]
On 8 September 2023, Alvi marked the conclusion of his five-year term as the country's fourth democratically elected president. However, he continued in office beyond this date due to the absence of an electoral college required to elect his successor. This made him the second President in the country's history to have an extended term.[46]
His term as President of Pakistan ended on 8 March 2024.[47]
On 3 April 2022, he dissolved the National Assembly of Pakistan on the advice of Prime MinisterImran Khan,[48] in order to prevent the moving of thescheduled no-confidence motion that intended to remove Khan from the office of PM. The dissolution was appealed to theSupreme Court of Pakistan, which declared the move unconstitutional and restored the National Assembly on 7 April,[49] which then proceeded to carry out the no-confidence motion on the night of 9 April. The motion was successful after 174 MNAs voted in its favour (172 were needed), thus ending Imran Khan's term as prime minister.[50] Alvi was criticized for this move and the Supreme Court also declared Alvi's decision "contrary to the Constitution and the law and of no legal effect".[51]
In April 2022, President Alvi faced criticism for missing the oath-taking ceremony of Prime MinisterShehbaz Sharif due to illness. Some accused him of showing bias towards the PTI instead of fulfilling his duties impartially according to the Constitution.[51][52]
In August 2023, Arif Alvi declined to sign into law two bills, the Official Secrets Amendment Bill 2023 and the Pakistan Army Amendment Bill 2023.[53] However, in a surprising disclosure, Alvi later revealed that he withheld his signature on these bills due to his disagreement with their provisions. He further asserted that his staff at the President House had acted against his directives, undermining his authority.[54] This caused controversy because, according to the Constitution, Alvi should have either approved or rejected the bills within ten days. But the bills were confirmed later without his clear decision.[51]
In March 2024, Alvi faced criticism for violating the Constitution when he delayed summoning a session of the National Assembly for newly elected MNAs to take oath following the2024 Pakistani general election. He waited until the last moment to do so after twice rejecting summaries from the caretaker prime minister, citing concerns over the allocation of reserved seats to PTI.[51]
The Friday Times wrote that Alvi's presidency was marked by a troubled legacy riddled with controversies and disputes with elected governments and state institutions. He was often viewed as a president who closely aligned himself with his party, the PTI, rather than serving as a unifying figure for the nation.[51]The News in its editorial wrote that despite criticism from legal experts, the judiciary, and political opponents, Alvi's presidency faced allegations of prioritizing party interests over national concerns. These factors may shape how history perceives his time in office.[52]