If this aspect sits in your natal chart, you already know one thing about yourself that is hard to put across to other people: there is pressure inside, all the time. Not anger, not irritation, not anxiety, but pressure — like a closed boiler with the temperature forever climbing. When you are busy with something, that pressure converts into work, and you get through in a day what stretches into a week for everyone else. When there is nothing to do, the pressure goes looking for a way out and finds it in irritability, in rows over nothing, in fast driving, in training yourself into the ground, or in the next crisis you quietly arranged for yourself just to have somewhere to pour the charge.
Mars conjunct Pluto does not make you an aggressive person; it makes you a person with a large capacity, and those are not the same thing. Aggression is always a reaction to a particular obstacle. A large capacity is simply a piece of equipment you carry regardless of circumstance, and it has to be handled as equipment: you need to know roughly how much charge is in it, where to point it, and what happens if you leave it with no channel at all. Most people who come to me with this combination tell a similar story. Before thirty, a run of conflicts, injuries and dramas. After thirty, a slow education in the fact that this energy has to be spent on purpose, or it will spend you.
In practical terms that means sport, but not as a hobby — as a form of hygiene. Strength work, martial arts, long walks under load, physical labour, anything that bleeds the pressure out of the system on a regular schedule. Without it, even a mild-mannered person with this conjunction starts finding themselves opponents, because with no opponent there is literally nowhere for the charge to go. The second channel is a profession with serious load behind it. Surgeons, rescuers, emergency-services people, turnaround managers, coaches — the list is long, and there is a logic running through it: every one of those callings makes intensity legitimate. They offer a culturally approved place where your power frightens nobody and is, instead, useful.
The blind spot in this combination is almost always the same. You do not notice how much your ordinary intensity presses on the people near you. What is a routine effort for you is, for most of them, already a battle. You say "calmly", but your voice sits a couple of tones lower and a notch louder than theirs. You suggest "let's talk it over", and in your head everyone has already been placed in their position. You "just gave an opinion", and two of the four people in the room can't lift their heads for a week afterwards. The most painful moment comes when you realise that the people who love you have gradually learnt to route around you — not because they distrust you, but because they have done the sum and decided the honest version will cost more than it's worth.
Working with this side does not begin with the exercise "speak more quietly". It begins with accepting that your baseline intensity is different, and that this is an objective fact, neither an insult nor a diagnosis. After that comes the slow business of reading a situation by the other person's reaction rather than by your own sense of it. If the person across from you has gone still, is answering in single words and is glancing towards the exit, that is the signal that you are already four notches above the level needed, even when you feel you have only just begun to warm up. Learning to take that feedback takes years, but it is the only way to keep the people you genuinely need close to you.
There is one more thing, and it is the quietest. You very probably have a theme you hide even from yourself: the theme of self-destruction. In the worst stretches a charge that has found no external opponent turns inward and starts attacking your own body, health, reputation, relationships. It happens without scenes, sometimes over years — one drink too many, a refusal to get checked over, reckless driving, a break with the very people who were helping. If any of that rings true, take it as a signal that there is no outer channel for the force right now, and it is time to build one. The healthy natal strategy with this conjunction is always a strategy of channels, not of suppression. If you want to understand which channels are open in your own chart, it is worth looking at the whole natal chart together, because Mars conjunct Pluto works in concert with the houses and signs it falls in. Read it, throughout, as a way to know yourself a little better — not as a fixed sentence.