Suizen developed within the Fuke sect of Rinzai Zen Buddhism, a distinctive monastic lineage that emerged in Japan from around the seventeenth century and became closely associated with the komuso, mendicant monks who wandered the country playing the shakuhachi while wearing a distinctive woven straw hood, the tengai, that concealed the face entirely, a practice understood partly as a discipline of ego-effacement consistent with the sect's broader spiritual outlook. For the komuso, playing suizen while traveling functioned simultaneously as meditative practice, as a form of religious mendicancy through which the wandering monk received alms, and, in some historical accounts, as cover allowing considerable freedom of movement across feudal Japan's otherwise restricted travel permissions, since the concealing hood and itinerant monastic status placed komuso somewhat outside the ordinary requirements governing other travelers.
The Fuke sect was formally abolished by the Meiji government in the late nineteenth century as part of broader religious reorganization, which might have ended suizen practice entirely, but shakuhachi masters and lay practitioners preserved and continued transmitting the honkyoku repertoire and meditative practice outside any formal sectarian structure, and suizen continues to be practiced and taught today, both within surviving Zen institutional contexts and by independent shakuhachi teachers carrying the tradition forward.