[1] The organization features classes, workshops, and speakers to discuss social, cultural, and medical issues faced by intersex people.
[8][9] Koyama was previously also a board member of the Survival Project, a now-defunct organization serving intersex and transgender survivors of sexual abuse and domestic violence.
In 2008, she published a blog post titled "This is Not a Tribute to Audre Lorde", criticizing the conference's treatment of her and other women of color.
The Unspoken Racism of the Trans Inclusion Debate" criticized the festival's organizers for a policy that "essentializes, polarizes, and dichotomizes genders.
[20] Koyama's blog Eminism features an archive that summarizes the debate and compiles historical documents related to the festival.
[22][23] She writes about social justice issues on her blog, Eminism, and has an online store where she sells buttons, zines, and apparel designed by herself and other activists.