The therapist uses their hands (thumbs, elbows, forearms) and sometimes, even their feet to reduce tension in the muscles. The massage does not use oils or lotions. The therapist will move the person's body into yoga-like positions (assisted yoga) in addition to pulling and rocking the body in various other ways.

Thai traditional massage is done through clothing, and many places will provide you with loose pyjamas to wear.

Even at the lowest intensity, Thai massage can sometimes cause further injury to the body. People who have cancer, are pregnant, or are recovering from surgery should not undergo a Thai massage. The physical intensity of this massage technique could lead to health complications or worsen preexisting injuries.

Thai massage incorporates stretching, compression, and acupressure techniques, focusing on energy lines and holistic healing, while regular massage techniques typically involve rubbing, kneading, and pressure on soft tissues.