Drawing on participant methodologies this article examines two cases of workers’ self-organised projects oriented to improving the quality of sex work and to ‘professionalisation’. The first case is a group of sexual assistants for people with disabilities, who have organised meetings and training for sexual assistants in a medium-sized city in Switzerland. The second is a group of peer sex worker educators offering workshops to people who sell sex in various industry sectors in a large German city. We argue that these activist interventions may represent a resource for identifying crucial aspects of work-quality and professionalisation in sex work and for making sense of some apparent contradictions of sex workers’ organising. Indeed, through ongoing conversations and recommendations about working practices and ethics, our participants develop situated views of what is better sex work and they originally engage with key conceptual areas, such as consent, autonomy, standardisation, income and professional identity. They do so by comparing a variety of experiences in sex industries, as well as discussing similarities with other jobs such as body work, care work, and psychotherapy.