He is widely credited as the first openly transgender singer in the hip-hop genre and he often incorporates his identity as a trans man into his work.

In 2001, he recorded with Mark Schaffer the title song, Candyass, to the feature film Sugar High Glitter City, directed by Shar Rednour (who broached the project to Katastrophe on a Sister Spit tour) and Jackie Strano; the soundtrack was nominated for an AVN Award but lost to Snoop Dogg.

He uses his struggle as a trans man and his contested place in contemporary queer and hip hop culture to discuss larger issues of community, space, privilege, sex, and self-worth.

[8] He was named Producer of the Year by Outmusic Awards for his debut album Let's Fuck, Then Talk About My Problems on the Sugartruck Recordings label, released in 2004.

[17] His video for the song "The Life" was on MTV networks LOGO top ten Click List for 12 weeks.