In 2004, Lyon was selected for , the tenth overall season of Survivor. The season aired in Spring 2005. The game started with all 20 players on the same beach. During the tribe division, she was chosen by Gregg Carey to be on the Koror tribe. She in turn picked Coby Archa to join the tribe. Koror ended up being the dominant tribe, winning every tribal immunity challenge. During this time she developed a showmance with Carey. She also developed a rivalry with Ulong member Stephenie LaGrossa, who was constantly beating her in challenges. Eventually, LaGrossa, the last remaining Ulong, was absorbed into Koror, but Lyon outlasted her when LaGrossa was voted out in seventh place. At the Final Four, when Lyon was expected to be voted out, she convinced Tom Westman to vote for Ian Rosenberger for thinking about betraying their alliance, while Rosenberger and Katie Gallagher, the only other players left, voted for Lyon. A re-vote was unsuccessful in breaking the tie, so Lyon was put in the first ever Final Four fire making tie-breaker challenge against Rosenberger. She lost the challenge, which put her on the jury. At the Final Tribal Council, she gave her vote to Westman to win the game. At the reunion show, it was revealed that her relationship with Carey only lasted on the island, although they remained friends afterwards.
Death
In 2005, while living in Encino, California, Lyon was diagnosed with stage three breast cancer, and subsequently began blogging about her disease and treatment. Lyon got involved with the Me and My Two Friends Foundation, which focuses on the early detection and prevention of breast cancer through education and awareness. It was founded by Alisa Unger, who designed jewelry and planned to donate a portion of the proceeds to fund breast cancer education projects. In 2006, Lyon was the grand marshal for the 11th annual Walk for the Cause, a breast cancer fundraiser in Albany, New York. In December 2009, Lyon opened a Christmas tree lot with her boyfriend, Dion, mother and father, Larry and Jane Lyon, and her two nephews, Tyler Lyon and Mikel Lyon, and donated all the profits to the Susan Love Cancer Research Foundation. In January she moved to a spot on the Hood River in Oregon. On January 19, 2010, Lyon died from cancer, which had come back from remission and had metastasized to the bone. She became the first former Survivor contestant to pass away. The special Surviving Survivor, which aired Thursday, February 4, 2010, just over two weeks after her death, was dedicated to her memory. The reunion episode of ' showed a video montage of moments from Lyon's appearance on '.