Open System Colonic.

A water reservoir is positioned roughly 18 to 24 inches above the treatment table, creating a gentle gravity-fed pressure. A small, single-use rectal tube is inserted two to four inches, and the client lies or semi-reclines on a specially designed table with an open drain. Water flows in, the colon fills until the client feels the urge to release, and the release goes directly into the drain. The practitioner is typically in the room, coaches the client, and may apply light abdominal massage, but the client controls the pacing.

The equipment cost is significantly lower (roughly $8,000 to $20,000 for a purpose-built open table versus $30,000+ for a closed-system device), the protocol is less technically demanding, and most clients report feeling more in control of the session than with a closed system. The open format also means less practitioner interaction during the release phase, which some clients prefer for privacy reasons.

Clients who want a fully supervised clinical protocol, clients with significant mobility issues (getting on and off the open table is less straightforward), and clients whose practitioners want precise control over water temperature and flow rate for therapeutic reasons. Open systems are also less efficient at releasing compacted matter in the upper colon, which is one reason some practitioners prefer closed systems for chronic constipation protocols.

45 to 60 minutes of actual hydrotherapy, plus 10 to 20 minutes of intake, positioning, and clean-up. A full appointment is typically 75 to 90 minutes. First sessions often run longer because of the intake conversation.

$80 to $150 per session in most US cities, £50 to £90 in the UK, €60 to €110 in Europe, AED 300 to AED 600 in Dubai, A$120 to A$180 in Australia. Package pricing is standard — typically a three-session or six-session package at 10 to 20 percent off the single-session rate. Add-ons (herbal infusion, coffee colonic, probiotic implant) run $15 to $50 each.

Which device model do you use, and when was it last serviced? Are rectal tubes single-use and disposable? What is your sanitation protocol between clients? Are you I-ACT certified, and at what level? How long have you been practicing with this specific device?