The aim of a sex surrogate therapy session is to learn how to give and receive touch to various body parts in becoming more sexually skilled, confident, and self-aware. These intense exercises involve learning how to relax, how to communicate effectively, how to be more socially savvy, and how to deliver sensual, sexual touch.

While it’s assumed that a sex surrogate therapy session involves intercourse, this is not necessarily the case. Each client’s case is unique in its needs and forms of therapy, with sessions tailored to an individual’s physical or emotional difficulties around intimacy, knowledge, skills, and comfort level. Thus, some sex surrogates find that they’ve had sex with no more than a couple of clients during their career. Sessions will often involve touch as basic as holding hands or caresses as clients learn about the body.

In all cases, safer sex practices are employed. The sex surrogate also works with the therapist about challenges and progress experienced in sessions.