Some say that intactivism needs to be organized better. I say that it is as organized as it can humanly be.
The main reason that it appears so splintered is because of very different opinions (and knowledge) about the impacts of genital cutting as well as what to do about it.
I'm not going to get into the impacts here, but there are MANY things to do about it and different groups are focusing on just one or two of those many things:
Protest/demonstrate - let society know that we exist. Bloodstained Men, Intaction, Cockfight and others do this.
Educate - Your Whole Baby does this with a website that approaches the topic in a way that attempts to be friendly (a difficult thing with such a contentious issue). Your Whole Baby, and others, also host information booths at events such as baby expos. We shouldn't need to do this, though - educational institutions, religious institutions, and healthcare institutions should be providing the information. We *all* need to apply pressure on the institutions we personally work with.
Lobby government - ask government representatives to make laws. Intaction has a separate arm (https://intaction.org/intactpac/) that has been taking this on in their state. We need one in every state. Healthcare in the USA is primarily handled at the state level. However, some local governments (e.g. Austin, TX) do establish laws related to medical practices.
Get in the NEWS - The various organizations typically get into news media, some local, some national, some podcasts, etc. One individual had the thought to push (instead of waiting for them to pull) information to the NEWS. That individual created Next Level Intactivism and claims to have influenced the NEWS to cover the movement more.
Provide emotional support - Your Whole Baby, NORM (National Organization of Restoring Men), 15 Square, Intersex organizations, and others have been doing some things to support those of us who become distraught over the losses due to being genitally cut. There remains much room for improvement here. Most sexologists, psychologists, and counselors (not all) that I have spoken with are supportive.
Litigation - "US legal defense and education funds have been responsible for some of the most influential human and civil rights court cases in history" (credit: Dan MacClymont from GALDEF). GALDEF (Genital Autonomy Legal Defense and Education Fund) is an organization that I co-founded with Tim Hammond and several others. Litigation certainly has not started with GALDEF, though. There are many ways that litigation can impact this movement. William Stowell obtained a settlement for his non-therapeutic genital surgery because his mother was dealing with the effects of anesthesia when they got her to sign consent forms. The Lavine family (see circumcisionisafraud.com) has mounted litigation. Myself and some others have taken steps "pro se" (without legal representation) to attempt to cause changes.
Is there room for improvement? ABSOLUTELY! Probably always will be until leaving people's genitalia intact when they are children becomes the norm.
Is any of this easy? ABSOLUTELY NOT! All of these things involve time, risk, emotional stress, and funding.