Since 1996, Mitchell has been actively involved in education on intersex and gender variance issues, lecturing at universities and running workshops around the world, and was also involved in the production of several TV documentaries, a film, and a photography book. Mitchell is a member of the
New Zealand Association of Counsellors,
World Professional Association for Transgender Health and the
International Transactional Analysis Association. Mitchell is the Executive Director of
Intersex Trust Aotearoa New Zealand, also known as Intersex Awareness New Zealand. Mitchell has also narrated the documentary
Intersexion (2012), directed by Grant Lahood, which features the story of Mani Mitchell and many other individuals, and looks at how intersex people navigate their way through life. Mitchell also helped organise the third
International Intersex Forum in November/December 2013, and participated in a meeting of New Zealand and Australian intersex organisations in Darlington, Sydney, Australia, leading to publication of the Darlington Statement policy platform. In 2021, Mitchell spoke of amazement at seeing "intersex people 'moving out of that shame and secrecy and into a playful, joyful place' over the years". ==Recognition==