Hats are rarely worn. When entering a temple, men and women wear scarves over their shoulders as a sign of respect. The color of the scarf depends upon an individual's rank. Although they are almost entirely Buddhists, traditional Tibetan shamanism is also practiced by some. The shamanists believe in an unseen world of gods, demons, and ancestral spirits.
Most Buddhist families have shrines for worship inside their homes.
A poor family may only have a small Buddhist image or painting rather than a shrine. However, a wealthy family may use an entire room as a shrine, furnishing it with an elaborate altar, lamps, an incense burner, and other religious items. Because of their history of isolation from other nations, the Central Bhotia do not trust outsiders. They are conservative by nature and value their ancient traditions. However, they are becoming more vulnerable to change due to their need for modern medicines and conveniences.