[2][3] Lee is an advocate for the ethical production and consumption of pornography[4] and for the labor rights and sexual autonomy of adult entertainment performers.

[10] In addition to their adult screen credits, Jiz Lee has appeared in numerous other queer and trans projects, including African American director Cheryl Dunye's queer romantic comedy of errors Mommy is Coming, in which Lee appears with an international cast that included the Black Boricua porn performer Papi Coxxx.

[12] They also performed the role of the genderfluid conjoined twins in video for The Residents's theatrical stage production of the album God in Three Persons premiered at MoMA in January 2020.

[3] Jiz Lee is also a significant figure in the genre of queer pornography,[15] and is considered to be a visible genderqueer person in porn.

[22] Porn scholar Lynn Comella described the book as "a testament to the power of storytelling and the importance of sex workers telling their stories in their own words.