In and after medieval times, Buddhist style ceremonies called Sokui Kanjo (Buddhist ritual of accession ordination) were also held (although it is said that the first case was made at Emperor Gosanjo, it become an established custom after Emperor Gofukakusa).
中世以後（初例は後三条天皇とされているが、恒例となったのは後深草天皇以後とされる）には即位灌頂と呼ばれる仏教様式の儀式も執り行われた。