Skip to content
  • About
  • Mapu Maia Clinic
  • Services
  • Support
  • The QTPI Village
  • Events
  • Get Involved
  • Blog
Our History & MANAFesto

Our strength as a community is in the diversity of stories, experiences, and identities. As Fa’afafine, Māhū, Leitī, Vakasalewalewa and many other Pacific Islander identities, our very beings are by nature intersectional, and our work cannot help but be so as well.

Learn More
Board & Staff

We look forward to meeting you! 

Funders & Partners

See who supports our work.

Org Transparency

Transparent and accessible.

Mapu Maia Clinic

Mapu Maia Clinic is a place of refuge, aimed at providing the 2SLGBTQIA+ community with quality health care in a space that honors them in all facets of their identities. Mapu Maia is a Samoan phrase that refers to inviting someone over to rest. 

Learn More
Primary Care

Access Mapu Maia Clinic doctors at no cost to you.

Sexual Health

Take control of your sexual health with a variety of support and care services available at our clinic.

Gender Affirming Care

We offer Hormone Replacement Therapy, Physician Referrals, Support Letters, and more!

Harm Reduction

Naloxone Access and a Needle Exchange service.

Care Work
Care work provides 1:1 case management, Resume Building, housing resources & more.
Electrolysis

We offer a safe and effective solution for those seeking permanent hair removal.

Sex Worker Empowerment

Working to create real safety for QTBIPOC, gender diverse, intersex sex workers.

MANAFest

MANAFest brings together Pacific Islander communities from across Washington State to celebrate who we are, where we come from, and the futures we’re building together.

Youth Services

Committed to cultivating leadership and advocacy among QTBIPOC youth through a deep reconnection to Indigenous identity, cultural knowledge, and ancestral power.

Community Services

Whether you’re seeking resources, support, or a space to belong, you’ll find compassionate guidance and culturally grounded services here.

SPEaC Change:
Policy and Legislation

SPEaC Change works to advance the rights and well-being of the QTPI and 2SLGBTQIA+ community through civic engagement by actively challenging discriminatory policies and fostering inclusivity.

Looking for Support?
Request Support

If this is an emergency, please call the 24-hour Crisis Line at 866-4CRISIS (866-427-4747), The Trans Lifeline at 877-565-8860, the Suicide and Crisis Lifeline at 988, or the Washington Community Service line at 211.

Universal Support Request

Use our request form to inquire about general services as well as services at the Mapu Maia Clinic.

Request for Sponsorship
Request Sponsorship
Request a Workshop or Speaker

We are dedicated to uplifting communities by providing a range of workshops that cater to diverse needs and interests. Our mission is to create opportunities for learning, growth, and empowerment for individuals who might otherwise have limited access to such resources.

Shop UTOPIA

Check out our UTOPIA Merch and support us in our Mission!

Community Calendar

Catch up with upcoming community events! 

Miss Island Goddess™

The Miss Island Goddess Pageant is a vibrant celebration of beauty, talent, diversity and empowerment, uniting contestants from the queer, trans and gender diverse communities of color to showcase their brilliance and advocate for marginalized voices.

MANAFest™

MANAFest™ is not just a celebration; it is a manifestation of our commitment to creating ecosystems of care and safety for our communities through Black and Brown organizing, prioritizing land and bodily autonomy, and reclaiming our cultural narratives.

QTPI Camp

QTPI Camp is journey of unity, empowerment, and cultural celebration, this year’s camp promises an even more enriching experience.

Become a Sponsor

Sponsoring our events sends a powerful message of solidarity & support to our community and we invite you to consider joining us!

Become a Sponsor
Become a Member

Support autonomy and self-determination through active participation in events and gain confidence to influence policy.

Careers

Our dynamic team is growing, and we’re looking for passionate, innovative minds like yours to join us. Check out our open positions below!

Volunteering

Learn more about our current opportunities and how you can get involved. Whether you can spare a few hours a week or a month, your contribution can make a real difference!

Join Our Board

Help shape a future rooted in equity, care, and community by joining UTOPIA Washington’s Board of Directors and lending your leadership to the people and movements we serve.

Join Us
Fofola Le Fala ma Talanoa Blog

We collect stories and musings from members of our community so we can connect, celebrate, remember and progress together!

Donate
Back to the Blog
PrevPrevious60 Years of Fa’afafine History: A Timeline of Herstory Makers & Events surrounding Them in American Samoa
NextBreaking the Stigma: Fa’afafine Women are Worthy and Deserving of LoveNext
  • June 29, 2022
  • Fofola le fala

Between a Rock and a Hard Place: A Story of Survival and Resilience

When Miki Kupu woke up from her usual after-work power nap to complete darkness in her room, she assumed it was just the usual loss of light to the evening. As she slowly made her way towards the bathroom, she hit the light switch but was only able to see a dimming glow and nothing else. She made a silent prayer and went to bed, hoping her sudden vision loss would go away with sleep. The next day, she managed to drive herself to the hospital and by chance, an eye specialist was on island and available for exams. “You’re going blind” the doctor said, “the retina is detaching from the optic nerve, it is a serious condition and you need to have surgery right away.” The local hospital did an immediate referral off-island and Miki left her life and work in American Samoa that same evening.  
 
When Miki arrived for treatment in Washington state, she discovered she had toxoplasmosis, a disease caused by a parasite that comes from the feces of dogs and cats. Almost twenty years prior, Miki was diagnosed HIV-positive; the virus weakened her immune system, making her easily susceptible to bacterial infections. Taxoplasmosis was just the beginning of a harrowing ordeal of health challenges for her. Miki had seven surgeries altogether since that diagnosis, including one for her brain as the infection had spread causing encephalitis. After the surgery she lost her mobility and was in a wheelchair for several months.  

In November of 2018, Miki entered an assisted living home. “I’m a healthcare worker by profession” she said, “I know the weight of caring for someone and I did not want to be a burden to my family. I was in the facility for fourteen months until I learned to walk again.” After regaining enough strength to travel, Miki left for California and entered a rehabilitation program there. She signed up for a two-year program at a school for the blind at the same time that she was searching for housing. All of her plans came to a sudden halt once the COVID-19 pandemic reached the U.S. in 2020. “Everything became difficult” said Miki, “I was only a couple of weeks in to the school for the blind and the pandemic shut everything down. Perhaps it was a blessing in some ways too, because I ended up choosing to change my plans and live in Washington to be closer to my family.”  
 
Miki’s life has not always been with family as I have learned through the course of our telephone interview. Her story is deeply immersed in pain, struggle and rejection, yet she triumphed entirely by will and survival. Born to a Samoan mother and a Tongan father, Miki grew up in the village of Fagatogo in American Samoa. Her parents were devout Jehovah’s Witness and according to Miki it became the constant cause of their animosity towards her. When her youngest sibling (a girl) was born Miki’s father said that he would not allow his daughter to grow up in a household with a fa’afafine. He kicked Miki out when she was just fourteen years old. “My parents were extremely zealous in the church”, recalls Miki. “The church was very against fa’afafine, I have not known another religion in Samoa that would divide a family that way. There was no way I could have survived there because honestly, I would have ended up killing myself.” 

Attending her High School prom In 1981
Miki far right with her High School friends, 1978

Miki found refuge in the home of her aunt Sinira; both Sinira and husband Lutu Fuimaono were well known figures in the community. Miki then befriended Maki “Marcia” Mageo and Pearl Mata’u and all three moved in together to Aunty Sinira’s home. Fagatogo and Pago Pago in the 1970’s through to the 80’s was a bustling metropolis. Many fa’afafine also gravitated towards the towns’ nightlife because of the sense of freedom that came with it. At sixteen, Miki was already living as a woman. She went to school during the week and on the weekend, she was a waitress at the Pago Bar Nightclub. On Saturdays, before heading to work, Miki, Marcia and Pearl performed with the Polynesian floor shows at Herb & Sia’s Motel.

Miki and Maki in San Francisco 1985

On Sunday afternoons, Miki and Pearl hung out at the lobby of the Rainmaker Hotel with sulu ‘aoao (sarong), flowers in their hair and flip flops on their feet. Miki’s cousin worked at the hotel and allowed them in all the time. The hotel was usually full of sailors and visiting tagata papa’e (Caucasians) guests and they would pander specifically to those men. “It was never about money” said Miki, “sometimes they do give us money, and I don’t mind taking it. But it was more so for gratification, because it made us feel wanted. Even later in life I have always preferred white men because of how they treated me. I have never received chocolates or flowers from a Samoan man.” Miki, Pearl and Marcia all competed together at the 1980 Miss Island Queen Pageant (now S.O.F.I.A.S). At the end of the evening, Miki, who went under her famous stage name “Mitzie Gaynor Lavender” was second runner-up, Pearl was 1st runner-up and Marcia was declared the 1980 Miss Island Queen.   
 

Entertaining for Miss SOFIAS pageant in 2010

School was a difficult situation for Miki because she was assertive, flamboyant and unapologetic. She was often the target of bullying and harassment. A bathroom incident where she was sexually assaulted forced the Samoana High School’s principal at the time, Luteru Fiso, to allow fa’afafine to use the women’s bathroom. “I got beaten up a lot because of being more daring than others, it had a lot to do with rebellion against my parents for disowning me.” 

Marcia Mageo & Pearl Mata’u. Marcia passed away in 2015 and Pearl lives in Hawaii.

Miki found comfort in Anita Schwenke, a seamstress at the local fabric store in Fagatogo. Anita was a well-known seamstress from Apia who sewed garments for many known dignitaries. Anita became Miki’s queen mother. In August of 1983, they traveled together for a long vacation and attended the first Pacific Mini Games held in Apia. Sadly, just three months later, Anita became suddenly ill.  She was admitted to the hospital where she stayed for two whole months before being released for home care. “I took care of her until her dying breath” remembers Miki, “I would bathe her and she would give me her blessings, ‘si o’u kama’ (my child) she would say. She died at 11:05 am on a Saturday morning on December 5th, 1983. I know exactly where her grave is located in Māgiagi.

 Town fabric shop in Fagatogo where her queen mother Anita Schwenke was a seamstress

In August of 1984, Miki longed for a change of scenery and decided to move off-island. She lived in Washington state and took up a job as a night janitor at a McDonald’s. “I was hesitant to dress up as a woman at first” says Miki, “I wasn’t comfortable until I decided one day to show up to work in a dress. One of the employees called me the “f word” and I grabbed a spatula and hit his face. He turned really red. The manager told me that I can’t hit people and I said ‘well where I come from, I’ll kick his ass, teaching him a lesson to not call anybody names’. The manager fired me on the spot”, she said with a laugh. 

Attending a party in Samoa in 2009

The following year, Miki moved to San Francisco to live with Marcia. When she arrived, she was shocked to see Marcia was no longer living as a woman, but as a gay male; even her mannerisms had changed. Most of Marcia’s circle were gay pacific islanders; to Miki, it seemed that Marcia had conformed to try and fit in. “I remember when I began hanging with Marcia’s circle and they would call me names a lot. ‘you sure is ugly’, that famous line from the color purple that they would use as a punchline. I had already begun hormone treatment, so I was the only transgender woman among our friends and I had to ask myself if I was really ugly and that started to really hit me emotionally.”  

Things got even harder when Miki began looking for a job and found it difficult to find one. To survive, she turned to prostitution and was living in a hotel on Polk Street where she would make $200 on a good night for six months. Miki internalized the thought that she might never achieve success while as a woman and began to slowly de-transition. She cut her hair and began living as a man and found a job. “I really am a woman” says Miki, “that’s how I feel on the inside. Perhaps if I was living in today’s era, I would have been more accepting of myself, but it was a different time then. I did what I had to do to survive.” In later years, those same circle of gay pacific islander friends became the pioneers of U.T.O.P.I.A. with the formation of the first U.T.O.P.I.A. organization in San Francisco in 1998.  

With members of UTOPIA San Francisco at a picnic in 2008
Marching with UTOPIA at San Francisco pride in 2000
Miki on San Francisco cruise early 2000s

In 1999, Miki’s parents relocated to the mainland for medical care needs. She hadn’t had a relationship with them for over twenty years but maintained a close bond with her siblings. She did not hesitate when her brother asked for her to visit their parents in Washington state. Miki traveled twice a month between work and was able to move her parents to a two-bedroom apartment and bought them a car to assist with their medical checkups. When her parents decided to move back home to Samoa in 2003, her dad asked Miki if she could escort them. “Dad are you sure you don’t want Abigail (Miki’s sister) to take you? You’re not embarrassed of your fa’afafine kid?” I asked him, “No!” he replied, “you are my child too.” Miki’s dad passed away three months after going back to American Samoa. “I hold no anger towards my father” said Miki, “my life with him came full circle when we had closure. I pray to God to forgive me as well, if I had ever hurt my parents. My dad told me shortly before he died that I was his child and that he loves me. That was enough for me to understand the depth of my father’s love.”  

Miki and her mom in 2008

In late 1999, Miki was having breathing problems and was losing weight rapidly. She went in for a medical checkup on December 4th, 1999 and was told she had AIDS. At the time, if a person’s t-cell count was below two hundred, it meant that the AIDS virus had begun to deteriorate the body and death was inevitable. “I came and sat in my car for I don’t know how long, and I cried and cried” recalls Miki. I still went to work that day to care for my patients with tears in my eyes. I managed to protect myself early on after contracting the virus, so it hurt me when I realized I got it from someone that I loved and trusted, who was my lover at the time.” By the end of the 1990’s, advancement in treatment of HIV/AIDS were available to the public. People who were diagnosed years earlier were living full and healthy lives because of the medication. Education, research, and care for those living with the virus has also come a long way in the U.S.; Miki was determined to live and so she endured.   
 
In the late 2000’s, Miki relocated to American Samoa and took up a job with the Department of Health as an at-home health nursing assistant. She traveled from village to village helping to care for over five hundred sick and elderly patients. One of the things she advocated for was the need for medical beds in the homes she worked in. She recalls caring for patients who slept on the cement pavement or just a mattress on the floor. When Miki’s insurance stalled at one point while living in Samoa, it meant she would no longer receive her medication, which usually costs over $2000. She sought the help of the local HIV/AIDS clinic. “I didn’t hide my status while living in Samoa, but I wasn’t going to tell the whole village either because they wouldn’t understand. I made sure I went to the right people for help and those very people mocked and criticized me. I went off on them for not being able to provide me with immediate help and they joked about it. They were very unprofessional. They even had ministers sitting on the HIV/AIDS board who did nothing but judge people and their status. The lack of education has only fueled this stigma around HIV/AIDS that still exists today in Samoa.” 
 
After her life-threatening ordeal in 2017, Miki chose to live in Washington state. She was able receive medical and social security and apply for housing through local HIV/AIDS advocacy programs. She gained ten percent of her vision back and under state guidelines she was able to live independently. Twenty-three years after she was told she was going to die; she is still here with us today. She takes her medication daily at nine in the morning. Just last year, Miki did artwork that was showcased worldwide during World AIDS Day in Washington state. A filmmaker was also there to interview survivors of the AIDS epidemic.  

“They asked me how the COVID-19 pandemic is compared to the AIDS epidemic. The one thing that is still prevalent today as it was over forty years ago is the discrimination and ignorance against the BIPOC LGBTQI+ community. That’s the gospel truth. I’m not scared to say that. Nothing hurts me anymore now. Homophobia is no longer my problem. My dad accepted me for who I am and that is all that matters. The world may get ugly, but It will never make me close my heart. I was caught between a rock and a hard place my entire life, but I believe everything in life has its reasons. Perhaps I suffered for the sake of others learning from my life lessons and experiences. They say the truth will set you free, indeed I live in my truth and I am still here to tell my story.”

Miki Today

 

Related Posts

Fofola le fala

April 25, 2025

“At the PEAK of Purpose”: A Heartfelt Talanoa with Kristian Fanene Schmidt

Fofola le fala

March 29, 2025

Redefining Boundaries with Vaelupe Ma’aele-Gonzales

Fofola le fala

December 2, 2024

One Storyteller’s Journey to Align to Her Calling

Fofola le fala

September 30, 2024

A Woman For All Seasons: An Intimate Conversation with Dakota Sofa

Fofola le fala

May 31, 2024

A Place for Us to Live Our Dreams: The Story of Bhimcee

Fofola le fala

April 16, 2024

Stepping down with tremendous grace – The story of Paris Mae Mackie Yandall

Fofola le fala

January 12, 2024

Levi Reese: A Trailblazing Civil Servant in American Samoa

Fofola le fala

November 30, 2023

For the Love of the Game: Memoirs of Jaiyah Saelua a Journey Destined for Greatness 

Utopia WA

  • 841 Central Ave N Ste C-106
    Kent, WA 98032
  • 253-478-3941
  • mail@utopiawa.org

Mon – Fri: 10am – 5pm

Follow Us

Facebook X-twitter Instagram Youtube

Mapu Maia Clinic

  • 841 Central Ave N, Suite C-106
    Kent, WA 98032
  • 206-774-9746
  • mapumaiaclinic@utopiawa.org

Mon: Closed
Tues – Fri: 9am – 5pm
Sat – Sun: Closed

*New patients can schedule an appointment by phone

Quick Links

Mapu Maia Clinic
Miss Island Goddess
MANAfest
Support Request Form
UTOPIA Washington SMS Terms & Conditions
UTOPIA Washington SMS Privacy Policy
Privacy Policy

Join our Newsletter

Sign up for our newsletter to stay up to date!

Select list(s) to subscribe to


By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

Member of Washington Healthcare Alliance

CLIA# 50D2263955

© 2026 UTOPIA. All Rights Reserved.

Design

  • About Us
    • Our History, Mission & Values
    • Board & Staff
    • Funders & Partners
    • Transparency | Financial Reports
  • Mapu Maia Clinic
    • Mapu Maia Clinic Overview
    • Primary Care
    • Sexual Health
    • Gender Affirming Care
    • Harm Reduction
    • Care Work
    • Electrolysis
  • Services
    • Sex Worker Empowerment
    • Youth Services
    • Community Services
    • SPEac Change: Policy & Legislation
  • Support
    • Support Request
    • Request a Workshop
    • Request for Sponsorship
  • The QTPI Village
  • Events
    • Community Events
    • Miss Island Goddess™
    • MANAFest™
    • QTPI Camp
    • Become a Sponsor
  • Get Involved
    • Become a Member
    • Careers
    • Volunteering
    • Join Our Board
  • Fofola Le Fala Ma Talanoa – Blog
  • Donate
  • Shop
Facebook X-twitter Instagram Youtube