To undertake this mediation, the noaidi are believed to be able to communicate with the spirit world, and to ask what sacrifice needed to be made by a person so that he might return to good health and be successful in the hunt for food.
Using a traditional drum, which is the most important symbol and tool of the Sámi noaidi, they invoke assistance from benevolent spirits and conducted out-of-body travel via the "free soul" with the help of other siida members.
The activities include healing people, helping children, making decisions and protecting reindeer, which represents the most important source of food and are also used as tribute payment.
It has traditionally often been claimed that only men could become noaidi and use the drum, but both Rijkuo-Maja of Arvidsjaur (1661–1757) as well as Anna Greta Matsdotter of Vapsten, known as Silbo-gåmmoe or Gammel-Silba (1794–1870), were both noted to have done so.
This can be contrasted to other goals, namely overtone singing and bel canto, both of which exploit human speech organs to achieve "superhuman" sounds.