[5] 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.
[9] In June 2016, it was announced that Mac would be featured in The Trans List[10] an HBO documentary film produced by Janet Mock along with director Timothy Greenfield-Sanders.
Mock also interviews the cast, which features ten prominent transgender figures besides Mac: Laverne Cox, Miss Major Griffin-Gracy, Buck Angel, Kylar Broadus, Caroline Cossey, Shane Ortega, Alok Vaid-Menon, Nicole Maines, Bamby Salcedo and Caitlyn Jenner.
"[16][17] In 2018, after being named a Lambda Literary Writers' Retreat Fellow for Emerging LGBT Voices,[18] it was announced that Mac was writing a young adult novel.