Proper hygiene is essential before, during and after any fisting activity. Make sure the giver has cut or filed their fingernails down smooth. Long nails don't mix well with the anal or vaginal canals. Latex gloves are a great way to provide protection during this form of stimulation.

For Anal Fisting
The receiver should use an enema done 30-60 minutes before the session to clean out all fecal matter. Use a water based enema - in fact, water alone should do the trick. Allow at least 15 minutes for all of the water to completely drain.

For Vaginal Fisting
Though a thorough cleansing of the vaginal area is a good idea prior to fisting, it's not mandatory. Proper lubrication will be essential, so a little foreplay won't hurt. Vaginal fisting is not advisable during menstruation.

• Trauma The anal canal is a very sensitive area, especially the deeper you go. Sharp objects, friction and certain materials may cause cuts, pain and or allergic reaction to the entire region.
• Infection The anal area is rife with bacteria and other microorganisms that can cause terrible damage when introduced to other parts of the body.
• Cleansing When cleaning this area, you should always begin with warm water only. Don't add anything until you've become comfortable with the warm water.
• Cleanup After Fisting Depending on the nature of your session, you'll probably want to allow an hour or so for the various fluids and lubricants to drain out of you.
• Diet and Nutrition Again, diet plays a more important role in anal fisting than it does in vaginal fisting. With a proper diet, you can clear out the anal canal prior to fisting.