Six daily rituals and three yearly festivals are held at the temple, of which the Vaikasi Visagam for Mullaivananathar, Adipooram and Navarathri uthsavam for Ambal, Annabishekam, Kanthasashti, Karthigai Mahadeepam, Karthigai Sunday theerthavari and Panguni Uthram are some of the prominent festivals celebrated.

[3] The temple is maintained and administered by the Hindu Religious and Endowment Board of the Government of Tamil Nadu.

Garbharakshambigai is believed to have saved a fetus of her devotee (Vedhikai, wife of Sage Nithruvan)[3] and hence the temple is frequented by people praying for child birth.

[2][4] As per Hindu legend, a sage named Niruthuvar was living near the banks of river Vennar along with his wife Vedikai.

Orthuvapathar felt that the lady inside the house was humiliating her and he cursed her due to which the fetus was killed.

Another inscription from the 20th regnal year of the same king indicates a donation of 13 veli (roughly 52 acres of land) by a devotee named Tiruchitrambala Udayar to meet the expenses of the temple.

[8] The temple is maintained and administered by the Hindu Religious and Endowment Board of the Government of Tamil Nadu.

[2] There are separate shrines for Sekkizhar, Nalvar, Santhanachariar, Dakshinamurthy, Nrithivu Nayakkar, Arthanariswarar, Mahalakshmi, Arumugam, Brahma, Durga and Chandikeswarar.

[11] In 2020, a hall for Annadhanam was added by the Hindu Religious and Endowment Department, by the Government of Tamil Nadu.

[12] The temple finds mention in Tevaram, the 7th century 12 volume Saiva canonical work by Tamil saints, namely Appar, Sundarar and Campantar.

[13] The temple also finds mention in Periya Puranam by Sezhkizhar, Siva Ksehtra Sivanamaga Kalivenba by Umapathi Sivam and Vinnapakali Venba by Ramalinga Adigal.

[13] Thalapuranam by Ambalavana Pandaram, Nanmaimalai & Rettaimanimalai by Veerabathra swamigal, Pathirru Panthathi by Govindaswami Pillai, Vadamozhi Slogangal by Anatharama Dikshithar and Amman thothirangal Tamilpattu by T.S.