Chod is unusual among Tibetan Buddhist practice systems for having spread across all four major schools of Tibetan Buddhism, Nyingma, Kagyu, Sakya and Gelug, each developing its own specific lineage and liturgical variants of Machig Labdron's original teaching rather than the practice remaining confined to a single sectarian transmission, a genuinely cross school reach relatively rare among major completion stage practice systems. As with the other advanced completion stage practices catalogued alongside it, Chod is transmitted through empowerment and direct instruction from a qualified teacher within an established lineage rather than learned from written description, and its combination of visualisation, musical instrument use and, for more advanced practitioners, physically undertaking retreat in isolated and unsettling locations, means qualified guidance carries particular practical as well as spiritual importance.
The practice remains actively taught and practised across Tibetan Buddhist communities and their diaspora today, and it has drawn some outside scholarly and clinical interest, including comparison with exposure based approaches to fear in Western psychology, though such comparisons are made by outside researchers rather than reflecting how the tradition itself frames the practice's purpose, which remains explicitly oriented toward cutting through self clinging in service of liberation rather than psychological therapy as such.