Normally who needs Shiatsu treatment goes to the practitioner's study and he's received in a quiet, comfortably and relaxing ambient, which helps a condition of calm and in absence of thoughts.

                
The most important place of the surgery is beyond doubt the zone of the Futon, a particular mattress filled with cotton, (or a particular tissue derivate from coconut) and it's used in the East for a lot of situations of daily life. The receiver lays down on the futon on the floor, or in alternative according to the single case that may require, on a bed or a treatment chair.

There are different positions for the receiver, due to necessities: laying supine or in a prone position, laying on the side, sometimes sitting with the correct support of special cushions or supports (Nekrol). The position has to be the most comfortable and stable on the floor, because an instability of the supporter must be quickly balanced by the body of the practitioner.

      
The receiver has to take off the shoes, but not the clothes, as usually pass with other kinds of techniques, because in Shiatsu is not a require to work on nude skin. The clothes can be a simple t-shirt and a pair of trousers of cotton. The visit starts with a short verbal dialogue. Then starts the downright treatment, during which the dialogue between practitioner (called in Japanese "Tori") and the receiver (called "Uke") continues on an other level: without words, but with an intense and deep contact through the hands' pressure on the body. The treatment continues silent, in this manner practitioner and receiver can maintain the attention on what is happening. The practitioner can feel through hands the truth not only of the physical, but also of the energetic, situation, and its changing, the receiver can in his turn feel the whole of sensations of the flowing of energy through the perception in different moments, in the different hot or cold areas of the body.

                
Shiatsu becomes a not verbal dialogue between practitioner and receiver, a dialogue that carries out on different levels of perception.

The practitioner will perform the treatment through sequences, called "Kata", which are one of the fundamental characteristics of Shiatsu; the pressures had to make with correct perpendicularity, constancy, lack of muscular effort and reception. The treatment is performed on the whole of body, abdomen, back, limbs and head. At the end of the treatment the receiver will remain some minutes laying down in total relax to allows at Shiatsu to continue its action inside him, while he gradually takes contact with the external reality. Can follow questions, specifications and explanations.

The require treatments depend on the kind of the disease.

Usually:

-it goes on 45-60 minutes
-for acute diseases are sufficient 3-4 session
-for chronic diseases are necessary 10 sessions at least