This is done without anesthetic, always inside or near the temples surrounded by other devotees with only iodine, petroleum jelly and surgical gloves as precautionary measures. Despite this scenario, many of the same people performing the rituals are also the people who will care for many of the people in their recovery. The actual impaling is done by doctors and physicians in the community, is planned out for weeks if not months in advance and medical teams are present in and around temple grounds for the entire time of the festival, with spectators frequently needing more help than the devotees, who remain in a trance during this process and are monitored through the entire event in case they should drop out of concentration, in which case they are immediately taken to medical professionals regardless of the circumstances to minimize post trance bleeding.