Fairness WV has been at the forefront of many LGBT-related news events in West Virginia, such as aiding over a dozen towns and cities to adopt LGBT-inclusive nondiscrimination ordinances,[3] helping transgender people execute legal name changes,[4] lobbying for a statewide Fairness Act to bar sexual orientation and gender identity discrimination in employment, housing and public places,[5] and rallying support for LGBT issues and causes among the state's faith communities.

In 2021, Fairness unsuccessfully lobbied to prevent the Legislature from passing House Bill 3292, which bans transgender athletes from competing in sports that match their gender identity.

[16] Despite lobbying efforts, as recently as 2014, West Virginia was the only state where Democrats controlled both houses of the Legislature and the executive branch to fail to pass a law prohibiting employment discrimination on the basis of sexual orientation.

Fairness has also unsuccessfully lobbied West Virginia's congressional delegation to support federal legislation to extend protections in housing, employment and public accommodations to LGBT people.

[19] In 2015, Fairness successfully lobbied the Legislature to pass a bill making it easier for transgender people to change the gender marker on their driver's license.

[22] The organization is also led by a Board, including Huntington Fire Chief Jan Rader, who was named to Time's 2018 100 Most Influential People List, former Kanawha County state senator Chris Walters, Chair of Beckley's Human Rights Commission Danielle Stewart, Eastern Panhandle Pride President Joseph Merceruio, and St. Thomas Episcopal Church Rev.