Twisters often perform in restaurants, at birthday parties, fairs and at public and private events or functions.
Depending on the needs of the moment, they might easily move between the one-balloon or multiple approaches, or they might even incorporate additional techniques such as "weaving" and "stuffing".
Some twisters inflate their balloons with their own lungs, and for many years this was a standard and necessary part of the act.
The 1975 book by "Jolly the Clown" Art Petri credits "Herman Bonnert from Pennsylvania at a magician's convention in 1939" as being the first balloontwister.
Particularly well-trained and talented twisters, however, can blow-up several balloons at once, and some can even blow up 160s, which are much more difficult to mouth-inflate than the more common 260s, as their narrowness requires a great deal more strength and breath pressure to inflate.