Breema bodywork is most often done on a padded floor -- traditionally on a colorful oriental rug. The recipient is fully clothed, preferably in comfortable, loose-fitting clothing and socks.

The recipient lies down on his or her back and gets comfortable. (The practitioner may provide cushions or supports if needed -- for example, some people like to have a pillow under their knees.) After that, the recipient has no responsibilities -- the practitioner does all the "work."

The practitioner will hold, stretch, brush, or lean on areas of the recipient's body, using both hands and feet. Some of these movements may be pleasureful; some may be intense; some may seem extremely subtle, as if the practitioner is doing nothing at all. At no time should anything in a Breema session be painful. (If a recipient does experience pain, he or she should inform the practitioner immediately.)

There is no prescribed length for a Breema session -- ideally, it continues until it naturally reaches a state of completion. Depending on the circumstances, a typical Breema session lasts anywhere from 20 minutes to an hour, though it's possible for an effective Breema session to be much shorter or much longer. (In the real world, since both practitioners and recipients have schedules, a time frame for the session is usually agreed upon beforehand.)

The practitioner maintains physical contact with the recipient all through the session. When the practitioner breaks contact, that's a sign to the recipient that the session has ended. The recipient may wish to lie still and relax for a while longer, allowing the effects of Breema to "soak in."