She is the author of three books: Sex Change, Social Change: Reflections on Identity, Institutions and Imperialism (Toronto: Women's Press, 2005), C'était du spectacle! L'histoire des artistes transsexuelles à Montréal, 1955-1985 (Montréal: McGill-Queen's University Press, 2005), Invisible Lives: The Erasure of Transsexual and Transgendered People (Chicago: University of Chicago Press, 2000). In the mid-1990s, she worked to establish community-based health services for transsexuals in Vancouver, Toronto and Montréal. She is active doing activism, research and policy work in relation to the criminalization of prostitution, HIV, prisons, harm reduction, and refugee issues.