 To express and explore his culture of being a trans man in the United States, he and his friend Rocco Kayiatos started the magazine "Original Plumbing" in 2009 while they were both living in San Francisco.In 2011, he went on a national tour with feminist art group Sister Spit where he showcased photographs, read his writing and spoke candidly about trans representation in the media.In 2015 Amos Mac photographed a campaign for H&M's sister brand, & Other Stories, which became the first fashion campaign created by an all-transgender cast and crew.