Our Mission

St. James Infirmary is a peer-based occupational health and safety clinic for sex workers of all genders.
It is our mission to meet the needs of people engaged in the sex trade through advocacy, direct services, and social justice.


Beloved Sex Worker Activist

May 1, 2021
All are invited.

On May 1, 2021, YOU are invited to participate in a major online event to honor the life and legacy of Margo St. James, a treasured foremother of America’s modern sex workers rights movement. Margo passed away on January 11, 2021 after an incredible legacy of service to the sex worker community. This memorial event will bring together activists, allies and social justice warriors, from around the world, to honor Margo St. James and to show the vastness of the international movement to destigmatize and decriminalize sex work that she helped to build. We invite everyone to join us. You can participate as a viewer, content creator, patron or all three.

We can think of no better way to celebrate Margo than to put our time, talent and energy into a program of salutes, networking, art and invocations and innovations, in a 2 hour event. Tickets are free and we will also be accepting donations to for the St. James Infirmary, the San Francisco-based health clinic that Margo founded which has welcomed and inspired sex workers and activists since its opening in 1999.

We are already on our way to funding the budget for this production, estimated at $6000, but we can use more help to create the quality event we envision, and assure that this tribute to the life and work of Margo St. James is widely accessible and available for later viewing. More details shall be revealed. For now we encourage you to save the date, and perhaps donate to help us
produce the event.

As Margo would say, “We are soliciting for change.”

For more details on tickets and how to participate.

In Solidarity,
The Margo St. James Memorial Collective

Partial List of MSJ Collective Host Committee and Sponsors: Carol Leigh of Bayswan.org, Gloria Lockett, founder Cal-Pep, Priscilla Alexander, Carol Queen and Center For Sex & Culture, Annie Sprinkle, Susie Bright, Carol Stuart, Samantha Miller, Kate Marquez, Kaytlin Bailey and Old Pros Project, Sex Work Project at Judson Memorial Church, Ceyenne Doroshow and GLITS,Inc, Melissa Sontag Broudo, Decriminalize Sex Work, SOAR Institute, Kim Teevan, Kate D’Adamo, Molly Bode, Naomi Akers, Veronica Vera, Red Schulte for Support Ho(s)e Collective, Johanna Breyer, Dolores French, Lottie Da, Stephany J.Ashley, Kat Sunlove.

From St. James Infirmary: Chuck Cloniger co-founder, Celestine Pearl, ED, Myron “Boo” Parker AD, Dennison Williams, Durt.

Artists: Amber Bowen, Hoshi Hanna, Kern Toy, AViD Arts, Jazz at Cursive Design Studio.


What We Believe

There are many factors which affect the working conditions and experiences for all Sex Workers including the political and economic climate, poverty and homelessness, stigmatization, violence, as well as the overwhelming intricacies of the legal, public and social systems. It is the philosophy of St. James Infirmary to build upon existing skills and strengths in order to allow individuals to determine their own goals.

  • We are fundamentally against the criminalizing of Sex Workers—regardless of our different perspectives on decriminalization or legalization, the collective view of the St. James Infirmary is that incarceration of our community further marginalizes and disenfranchised us, which creates barriers to capacity building, and exacerbates a public health crisis.
  • We believe in revolution through healthcare. We challenge the conventional healthcare model that divides patients and providers and fosters unhealthy power dynamics. Our peer-based model creates a safe, trusted, and honest environment in which to provide services, and empowers our community to define our own well-being.
  • We are founded on the principles of harm reduction—St. James Infirmary supports Sex Workers being treated with dignity and respect, in every aspect of their lives

Our Impact

  • We increase access to primary healthcare and social services for Sex Workers throughout the San Francisco Bay Area.
  • We formalize communication and collaboration among individuals and agencies who serve Sex Workers to better serve our community.
  • We promote peer-based public health initiatives on behalf of Sex Workers, which may be used as a model for improving occupational health and safety standards and developing comprehensive medical and social services for Sex Workers around the world.
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SJI full color logoSm

We are very excited to announce that we have begun our 2019–2020 fundraising campaign: "St. James Infirmary, in our 20th year, is fighting for the equity of sex workers and trans people of color."

St. James Infirmary believes that we will achieve health equity and anti-criminalization in California by focusing on providing comprehensive support to Sex Workers of Color. St. James Infirmary believes that we cannot fight for the liberation for Sex Workers and Sex Workers of Color without fighting for the liberation of Trans People of Color.

Towards those ends, we are expanding and transforming our services. We have FOUR major changes that we need your help to achieve:

First, St. James Infirmary is bringing its HIV services to Oakland. We have long desired to bring our services to Sex Workers to the East Bay, and we have finally decided that we are going to make a dedicated effort to gather the resources necessary to make it happen, starting with our HIV program.

Second, St. James Infirmary has a responsibility to ensure that the services provided to the Trans community of Color are appropriately run. Towards that end, we are launching a new housing program specifically for the Trans Community. Details to follow!!

Third, St. James Infirmary is expanding its outreach program in the Mission. Thanks to a grant from the City of San Francisco, St. James Infirmary will have increased presence in the Mission on weekend nights, additional resources, and, importantly, a newly-formed emergency housing program for Sex Workers at risk of harm. With your help, we can continue to build out our program and serve as a model for the rest of the country!

Fourth, St. James Infirmary is conducting a needs assessment and launching a leadership development program. We are privileged to be in a place where we can use our resources to amplify the voices of marginalized sex workers in the Bay Area, and look forward to providing those interested with what they tell us they need to bring their work to the next level.

With the above in mind, we are asking St. James Infirmary’s family and supporters to become sustaining donors. As you all have noticed over the past several years, St. James Infirmary has grown into an organization that has the leadership, vision, philosophy, and organizational capacity to make it happen. What we need is the money. The dollars. The dough. The bread. The cheddar. Whatever you want to call it, we need it. And we need you to give it to us.

St. James is on the rise—we are certain that you who have been watching us know this truth as well as we do. What we are asking for now is the resources necessary to push us through this period of growth so we can complete our transition into the organization that everyone knows we can be. We thank you for your patience during our transformation. We thank you for your support. We thank you for being you, because without you, there is no us.

Please support St. James Infirmary by making a monthly donation.


Our Trans Home SF

Ribbon cutting for TGNC Washington Street House with Mayor London Breed and SF Supervisor Aaron Peskin
Our Trans Home SF is a coalition campaign working to address & raise visibility of trans homelessness & housing instability. Led by St. James Infirmary and Larkin Street Youth Services we need your support.

Make a donation today!



From Our Blog


10 years, 700 guests, & $15,700–Cirque X, simply spectacular! Much love & gratitude!

By sjidirector | June 7, 2009

To all the Volunteers & Performers- Well the event last night was so amazingly hot!! We sizzled at the door too.  Everyone who came out made the night so much fun and a very successful fundraiser.  As we just celebrated our 10th Year (can you believe that?), we are blessed to have so many amazing […]

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June 5th, 2009–St. James Turns 10

By sjidirector | March 25, 2009

Like many non-profit organizations in San Francisco, St. James Infirmary has recently suffered mid-year budget cuts from our City and State contracts, and there may be additional cuts in July. While these budget cuts threaten our services to the sex worker community, they have also provided us with the motivation to become creative in our […]

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St. James does RenegadeCast

By sjidirector | March 8, 2009

In 2008, Naomi, Melissa, Robyn, and Sadie began working on RenegadeCast together. This episode is the first from that collaboration, recorded at the International AIDS Conference in Mexico City. Robyn and Melissa talk about what it was like to meet sex worker activists from around the world, what we’ve learned from advocacy groups in Latin […]

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International Sex Worker Rights Day

By sjidirector | March 3, 2009

The 3rd of March is International Sex Worker Rights Day. The day originated in 2001 when over 25,000 sex workers gathered in India for a sex worker festival. The organizers, Durbar Mahila Samanwaya Committee, a Calcutta based group whose membership consists of somewhere upwards of 50,000 sex workers and members of their communities. Sex worker […]

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Sex workers do Harm Reduction, Part II

By sjidirector | February 24, 2009

What is the harm in sex work? Sex workers and allies explain that criminalization and wrong-headed policy approaches are the problem. Sex work is positive, it’s the policy framework that causes harm. What is “harm reduction” for sex workers then? Health services, needle exchange, distribution of condoms… along with fighting against the laws that oppress […]

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The House of Garza Presents: OUT … AND ABOUT

By sjidirector | February 16, 2009

A FUN AND SEXY FUNDRAISER FOR ST. JAMES INFIRMARY at CAFÉ FLORE on SATURDAY 21st from 8 to 11 pm. Please save the date and bring your friends. Hosted by Garza and co-host by Sister Gladys Pantzaroff, sponsored by BUMP from the San Francisco Department of Public Health With: BEBE SWEETBRIAR, PAJU MUNRO, SASHA SOPRANO, […]

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All You Need Is Love- Valentine’s Day

By sjidirector | February 12, 2009

“Red Light District” presents: “All You Need is Love” Saturday the 14th of February in Revelation  9999999  $5-20 ATA – 992 Valencia @ 21st 4pm – 12am Featuring: Verbobala (Tucson/Mexico), Jeff Stroker, and Miss Bix Jordan plus the Is What!? peepshow if weather is fair…. V-Day at ATA with Crazy amount of LOVE & LIGHT […]

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We Finally Have APPOINTMENTS!!!

By sjidirector | February 2, 2009

Tired of waiting around to get seen only to be told to come back next week? Can’t take precious time away from the job in a downturn economy?  Need a pap-smear, but you’ve been putting if off for way too long?  Well, we know what it’s like and have a solution.  In addition to hiring […]

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NEW: Appointment-based services & more!

By sjidirector | January 23, 2009

Beginning Wednesday January 28th, 2009 we will be offering some appointment slots for medical services during our drop-in clinic on Wednesday nights.  Appointment times are 7:30pm, 8:00pm & 8:30 pm.  To make an appointment please call 415-554-9634. Beginning Thursday February 5th, 2009 we will also be offering appointments for our new Thursday Afternoon Transgender clinic […]

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Obama Nation Jan. 20th 8pm @ the Powerhouse!!

By sjidirector | January 13, 2009

Join Hosts Sister Roma, BeBe Sweetbriar and Derrick Hanson for a fun-raiser of Presidential Proportions with a First Lady Drag Off. Where: Powerhouse 1347 Folsom @ Dore Alley. When: January 20th, after Obama gets sworn in, from 8pm-Midnight.

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