The tracking performance of the ATLAS detector at the Large Hadron Collider (LHC) relies critically on its 4-layer Pixel Detector, located at the core of the ATLAS tracker. The ATLAS pixel detector consists of four barrel layers and a total of six disk layers, three at each end of the barrel region. It has undergone significant hardware and readout upgrades to meet the challenges imposed by the higher collision energy, pileup and luminosity that are delivered by the LHC. The key status and performance metrics of the ATLAS Pixel Detector are summarised, and the operational experience and requirements to ensure optimum data quality and data taking efficiency will be described, with special emphasis on radiation damage experience. By the end of the proton-proton collision runs in 2018, the IBL had received an integrated fluence of approximately $\phi$ = 9 $\times$ 10$^{14}$ 1 MeV neq/cm$^2$. The innermost of the three outer layers (B-layer) has been exposed to about half the fluence of the IBL, and lower fluences for other layers. The ATLAS collaboration is continually evaluating the impact of radiation on the Pixel Detector. In particular, signs of degradation are visible but are not impacting yet the tracking performance, including a trend of decreasing charge collection, dE/dX, occupancy reduction with integrated luminosity, under-depletion effects with IBL, effects of annealing that are significant for the inner-most layers. A quantitative analysis of all these effects will be presented and discussed, as well as the operational issues and mitigation techniques adopted during the LHC run and the ones foreseen during the LHC Long Shutdown 2.