Patients can expect to go over your health history with the manual osteopath as well as having a discussion about what the patients goals/needs involve. Next an assessment will be performed, which includes observation of posture and tests to determine where treatment will be most indicated. The assessments are very thorough and will consume much of the initial visit time. With the remaining time, treatment will be provided. In subsequent appointments, there will be a shorter assessment (in order to observe the lasting changes and to guide the process), and more time will be spent on treatment, which can take place with the patient sitting, lying face up, face down, or in side lying.