Thai yoga stretching uses no oils or lotions. The recipient remains clothed during a treatment. There is constant body contact between the giver and receiver, but rather than rubbing on muscles, the body is compressed, pulled, stretched and rocked.

The recipient wears loose, comfortable clothing and lies on a mat or firm mattress on the floor. In Thailand, a dozen or so subjects may be receiving stretching simultaneously in one large room. The true ancient style of Thai yoga stretching requires that the session be performed solo with just the giver and receiver. The receiver will be positioned in a variety of yoga-like positions during the course of the session, that is also combined with deep static and rhythmic pressures.

This stretching generally follows designated energy lines called (“sen") in the body. The legs and feet of the giver can be used to position the body or limbs of the recipient. In other positions, hands fix the body, while the feet do the work. A full Thai yoga stretching session may last two hours and includes rhythmic pressing and stretching of the entire body. This may include pulling fingers, toes, ears, cracking knuckles, walking on the recipient's back, and moving the recipient's body into many different positions. There is a standard procedure and rhythm to the session, which the giver will adjust to fit the receiver.