Mx. 'Alamea-Xian was the founder and former Executive Director of the Pacific Alliance to Stop Slavery (PASS) in Honolulu, Hawaii. They are responsible for reforming Hawaii's promoting prostitution statutes, which began in 2005, and the introduction and passage of Hawaii's first survivor-centered anti-sex trafficking law (HB 1902 of 2016). In 2004, with the help of the New York-based organization, Equality Now, they led a focused campaign involving public action and legislative advocacy resulting in the passage of Act 82 (2005), the first state law in the nation to outlaw sex tourism. From conducting street outreach in the early 2000s to their present direct advocacy with adult and child survivors of trafficking, Mx. 'Alamea-Xian has been involved in every aspect and stage of the healing process with survivors of both labor and sex trafficking in Hawaii.

As an expert consultant in federal anti-human trafficking programs, Mx. 'Alamea-Xian sat on the U.S. Department of Health and Human Services (HHS) SOAR Technical Working Group, which is responsible for updating and creating national anti-trafficking training for health care providers, public health professionals, and social services. They were also an expert consultant with the Office of Population Affairs (HHS) Family Planning Program on Trafficking In Persons in Title X settings.

Mx. 'Alamea-Xian is currently a law student focusing on Constitutional concerns arising from Hawaii's Family Court Custody Crisis.