Now—following his new ideology of the male physique—he began a vigorous regimen that consisted of five-days-a-week workouts and of generally eating healthy.
The same year he performed in Allanah Starr's Big Boob Adventures (directed by transsexual Gia Darling), which featured the first filmed sex scene between a trans woman (Allanah Starr) and a trans man.
His 2008 performance in Buckback Mountain received nominations for "Best Alternative Release" and "Best Specialty Release" at the Gay VN Awards.
He is the founder of Buck Angel Entertainment, a media production company.
A trans man, he received the 2007 AVN Award as Transsexual Performer of the Year; he now works as an advocate, educator, lecturer, and writer.
This was because Angel was one of the earliest—but more modern—cases of female-to-male patients, because there was limited data on prior cases like his.
He was, as his doctor stated, “going to be my guinea pig,” where experimentation was the main course of action in helping him.
Nevertheless, the conversion of porn into an educational form was a tough task because of the stigma behind sexual content.
Angel’s porn star identity made it difficult for him to express his ideas as he couldn’t speak on behalf of himself and that the industry did not know what to do with him either.
This was not well received by his family, and according to Angel, "They were going to put me in a mental institution." Unaware of the existence of treatments for gender dysphoria such as hormone replacement therapy, he lived for years as female, during which time he took drugs and drank alcohol.
Though he was employed as a female professional model, he was generally dissatisfied with his identity and existence, and "was not loving life".
Angel gradually concluded that he did not need a penis because it is not what defined him as a man.