Most of the work can be performed through light clothing. During a session the client will lie on a therapy table or bed, although the work can be effectively carried out with the client in a chair. A session will last generally around 45 minutes to one hour.

The technique involves the therapist using their fingers and thumbs to make rolling movements over muscle, ligament, tendon and fascia in precise areas of the body.

The work is very subtle, relaxing and gentle involving no hard or prolonged pressure.

A feature of the work is that the therapist will leave the room between adjustments to allow the body to rest and absorb the movement. This is a key element of Bowen and is a defining aspect of the technique as well as being one of the most important.

Most people will have responses within three to four weekly sessions, when even long-standing chronic pain can be relieved. Other conditions might need to be treated more often. Some clients return for regular treatments every six to eight weeks to help maintain optimum health.