Sangomas often use various divination techniques such as bone casting, throwing the bones, or tarot card readings to gain insights into the spiritual, emotional, and physical aspects of a person's life. What sets Sangoma divination apart is the incorporation of ancestral wisdom and cultural symbolism, offering a unique perspective and deeper connection to the spiritual realm.

Sangomas provide spiritual counseling and guidance based on their intuitive insight, ancestral knowledge, and understanding of metaphysical principles. This counseling may involve helping clients navigate life transitions, uncovering patterns or blockages, and facilitating personal growth and self-discovery.

Sangomas perform various healing rituals and ceremonies aimed at restoring balance and harmony within the individual and the community. These rituals may include energy clearing, ancestral veneration, herbal remedies, and hands-on healing techniques, drawing upon the healing power of nature and the collective wisdom of generations past.

Sangomas often specialize in ancestral work, which involves honoring and connecting with one's ancestors for guidance, healing, and spiritual support. This may include ancestor veneration ceremonies, ancestral lineage healing, and ancestral divination to uncover ancestral wisdom and healing pathways.

Sangomas play an integral role in their communities, providing support, guidance, and healing to individuals and families facing challenges or seeking spiritual guidance. They often act as mediators, advisors, and spiritual leaders within their communities, fostering unity, resilience, and collective wellbeing.