Fisk was art director on Brian De Palma's Carrie (1976), starring his wife Sissy Spacek. He frequently collaborates with directors David Lynch (whom he has known since childhood) and Terrence Malick. His production design and art director credits include all four of Malick's feature films and Lynch's Mulholland Drive (2001). He was nominated for the Academy Award for Best Art Direction for Paul Thomas Anderson's There Will Be Blood.
Fisk appeared in Lynch's Eraserhead (1977) as the Man in the Planet, and the film's credits give "special thanks" to him and to Sissy Spacek (who reputedly held the slates between takes).