Through a practice that is largely dialogical and participatory, Fox explores the physical, medical, emotional and social aspects of gender transition; specifically the frustration felt with inefficient transgender healthcare pathways. His work is hinged on how social constructs effect people, aiming to question and shift these constructs, generating work through social interaction, working with other artists and the public. His participatory pieces are designed to replicate feelings of frustration and lack of control felt through transition, with a focus on waiting, developing projects where participants endure a similar experience of ambivalence. These works are comprised of, but not limited to, printed matter, found objects, moving image & sound.