Human trafficking and prostitution for commercial sexual exploitation (CSE) happens every day, in every country. Women and female children are the predominate targets of this type of exploitation. This research looked at CSE women and how the Organization for Prostitution Survivors (OPS), a Seattle nonprofit, approaches their work with victims. The action research study question was: What creates successful collaboration and best practices sharing within a Seattle social services nonprofit organization serving the domestically prostituted and trafficked survivor community? Data were collected through an online research survey, consisting of 11 questions in total. Survey demographics included nine OPS board of directors and staff participants. The completed findings were shared with OPS in a feedback session during the spring of 2014, indicating a need for more robust organizational development practices and strategy beyond OPS’s current framework, including standardization of communication and self-care practices, financial development, fundraising, and clearly defined roles.