The recipient, wearing loose comfortable clothing, lies on a massage table.  The recipient can start by lying either on their back or stomach.  The practitioner will place his hands on or above the recipient in various positions. The hands are kept still for around 3 to 5 minutes before moving to the next position.

Halfway through, the practitioner will guide the client to turn over.  The practitioner generally uses a set of set positions, but may also focus on a specified area.  Overall, the hand positions usually give a general coverage of the head, the front and back of the torso, the knees and feet.  

While the experience of Reiki is unique to each individual, some possible experiences include:

1. Sensation of warmth from the practioner's hands
2. Feelings of deep relaxation and well-being
3. Sensation of floating or sinking
4. Feelings of love and joy
5. Seeing images or colors
6. Restful, sound sleep

Because Reiki can be provided without even touching the recipient, it is generally safe for most conditions.  Even children and pets receive Reiki.  However, Reiki is not a substitute for medical or psychological treatment.