A pilgrimage to visit these holy places as the fudasho temples (a temple of pilgrimage where pilgrims originally nailed a 'fuda,' or wooden votive plate, to the pillar or ceiling of the temple) is the oldest form of pilgrimage in Japan, and is still enjoyed today by many worshipers as the Saigoku Sanjusankasho Junrei (Pilgrimage).
この霊場を札所とした巡礼は日本で最も歴史がある巡礼行であり、現在でも「西国三十三所巡礼」として多くの参拝者が訪れている。