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


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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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.

Read More

Job Announcements

By sjidirector | December 28, 2008

We are looking for a part-time Registration Assistant and two On-call Registration Assistants who can assist with the registration process and the medical eligibility verification and enrollment. While experience with patient registration and billing is a plus it is not required for these positions. We are also looking to hire a part-time NEX worker for […]

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What is TradeOff?

By sjidirector | December 24, 2008

Male-identified sex workers are coming together to build community, support one another and share the tricks of the trade. Porn stars, strippers, models, phone ho’s: come out to talk about the real shit that affects us—drugs, sex, cops, asshole tricks and bosses, etc. If that’s not yr thang, come learn how to be a massage […]

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Dec 17th: Vigil & Procession To End Violence Against Sex Workers

By sjidirector | December 11, 2008

To prepare for the Dec 17th/International Day to End Violence Against Sex Workers vigil, procession, and memorial, on Tuesday, Dec 16th, from 6:30 to 8pm, St. James Infirmary will be open for us to make signs for the candlelight vigil and procession. Please join us. (More info on the history of December 17th and other […]

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Save St. James Infirmary’s Funding, Speak Out this Thursday & Friday

By sjidirector | December 10, 2008

Hello Wonderful Fans of the Infirmary- Many of you may have heard that there is a move to cut over $26 million in health care cuts (DPH) and St. James Infirmary money is part of the package. Programs all over the City are getting hashed and slashed.  Meanwhile, the police are still spending $11 million […]

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Spread the Word: Massage Training at tradeOFF!!!

By sjidirector | December 3, 2008

Monday Dec. 8 tradeOFF kicks off a series of trainings and workshops meant to collectively share and build our hooker-skills. We’ll kick it off with an amazing erotic massage training from the wondrous and beloved Reiki Master Dhamiboo. No prior skills or experience necessary! Free food! As always, 5-6:30pm at St. James. Check out our […]

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International Day to End Violence Against Sex Workers

By sjidirector | November 30, 2008

On December 17th, we will be hosting a gathering in San Francisco at the Hall of Justice to be followed with a peaceful walk to the Center for Sex & Culture, where there will be a vigil for our community affected by violence. Please join us in planning this event or at the event itself.  […]

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End of Year Holiday Party Next Wednesday @ 6:30pm

By sjidirector | November 20, 2008

On Wednesday November 26th at 6:30pm we will be hosting our End of the Year Holiday Party with Vegan/Meat Diner & Special Holiday Gift Bags.  This holiday party is open to community members/clinic participants, staff and their families or guests only. There will be NO HIV or STI Testing on Tuesday Nov. 25th and NO […]

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By sjidirector | October 4, 2008

Beginning Monday, September 29th, we are hosting a group for male-identified sex workers to chat, share the tricks of the trade, build community and support one another. Let’s discuss the real issues- drugs, sex, cops, self-care, etc. Wanna become a massage pro or create that ad that gets the calls? Let’s share our skills! This […]

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