The pop star performed for thousands of fans - known as Little Monsters - at the Roundhouse in Camden to open the 2013 iTunes Festival in London.
Gaga - whose real name is Stefani Germanotta - revealed during the gig that she felt like she was "back home", likening herself to Dorothy in The Wizard Of Oz.
Lady Gaga fans Darren James (L) and Cherie Cheung before the performance "To say I've missed you is a big understatement. When I'm without you, I can't live," she said.
"I'm a bit like Dorothy right now - there's no place like home."
The singer, who played an hour-long set, performed seven new songs from her upcoming third album ARTPOP.
Gaga underwent surgery for a broken hip in February. She admitted that making the record had been a cathartic process.
The singer performed for fans at the Roundhouse in Camden "I went through some really tough times I've never talked about. I won't tell you now - no need to be a downer - but as I wrote ARTPOP I had to take off my wigs and make-up," she said.
"I used them to be different people and it worked. But in order to grow and to be honest I had to show you what's underneath.
"What I wanted you to know is that I care not for success, I care not if people like it. I'm willing to risk it all for what I believe in."
Gaga played her previous UK show at Twickenham Stadium in September 2012 during her Born This Way Ball tour.
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