The principal image in each temple is Kannon, known to Westerners as the Bodhisattva of Compassion (sometimes translated as 'Goddess of Mercy'); however, there is some variation among the images and the powers they possess.
It is traditional for pilgrims to wear white clothing and conical straw hats and to carry walking sticks.
While the route was historically traveled by foot, today pilgrims usually use cars or trains.
Some pilgrims receive the stamps and calligraphy on wall scrolls (for a decorative hanging) and on their white coats (to be cremated in) as well.
The goeika songs of the 33 temples are widely known and frequently grouped together.