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.


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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!



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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From Our Blog


St. James Infirmary NEEDS YOU!! For Pink Saturday

By sjidirector | June 20, 2010

Come volunteer your time in one of the largest San Francisco events and raise money for your favorite Hooker Clinic. Our Clinic gets CA$H for every volunteer who works one of the fabulous gate shifts at Pink Saturday.  And you get a free Sister’s Shirts. Pink Saturday in the Castro on June 26th, 2010 by […]

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Sex Work & Feminism…

By sjidirector | May 25, 2010
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2009 Annual Agency Report

By sjidirector | May 17, 2010

If you are interested in reading about how the budget cuts have affected our services, what we did and who we served in 2009 or to read about our goals for 2010, download a copy of our 2009 Annual Agency Report.

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I am a sex worker

By sjidirector | April 17, 2010

New York-based advocacy organization Sex Work Awareness recently implemented its first day-long Speak Up media training workshop, which took place at the Harm Reduction Coalition in mid-April. At the end of the day, the workshop participants made a public service announcement video.

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Desiree Alliance Conference Scholarships

By sjidirector | April 2, 2010

St. James Infirmary Scholarships for 4th Desiree Alliance Conference: Working Sex: Power, Practice, and Politics July 25-30, 2010 Las Vegas, NV What: This year St. James Infirmary will be giving out full and partial scholarships to attend the Desiree Alliance Conference in Las Vegas July 25-30.  Full scholarships include hotel, flight and registration, some ground […]

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New St. James Gear Store Opens!

By sjidirector | March 5, 2010

Super-sexy hooker gear, shipped direct to you! St. James Infirmary tees and undies make the perfect gift for any occasion or trouble you want to cause. Wear them in health: Logo Girly Tee Logo Basic Tee Logo Girly Tank Logo Boyshorts Logo Thong New Logo Tee, Camisole, & Muscle Tank “Outlaw Poverty, Not Prostitutes” Tee, […]

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Our Store is NOW OPEN!!

By sjidirector | February 26, 2010

You can help the St. James Infirmary & Hooker Healthcare by sporting one of our fabulous designs on our cool tops and bottoms for any and all genders.  We have stylized our agency logo to a sleeker look.  So check out our store today. We still have our classic agency logo on a few shirts […]

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Featured Website: Sex Workers Project

By sjidirector | February 16, 2010

For some really cool resources and publications check out this fabulous website. About the Sex Workers Project Using human rights and harm reduction approaches, the Sex Workers Project (SWP) protects and promotes the rights of individuals who engage in sex work, regardless of whether they do so by choice, circumstance, or coercion. In addition to […]

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Peel Down your Underwaer…It’s a Party for SJI!

By sjidirector | February 8, 2010
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Now Hiring: Part-Time Grants Development Coordinator

By sjidirector | January 29, 2010

The St. James Infirmary is a peer-based occupational health and safety clinic for Sex Industry workers and their current partners.  We are seeking a part-time Grants Development Coordinator who can lead the agency in our grant writing and other related fundraising activities throughout the year.  The Grants Development Coordinator is under the direct supervision of […]

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