Articles / Breathwork
Wim Hof Breathing: How to Do It Safely
By Michael Thomas · Creator of The Vagal Method
Wim Hof breathing is safe when two rules are absolute: never do it in or near water, and always do it sitting or lying down. The method is 30 to 40 deep breaths followed by a breath hold on the exhale, repeated for three rounds, and it can make you faint. On land that means a moment of embarrassment. In a pool, a bath, or an ice barrel it can kill you. Never practise while driving or standing, never combine the breathing with a plunge, and stop if the tingling turns into pain or panic.
Why I am the one telling you this
I taught this method. I am a Former Wim Hof Method Instructor, I have guided hundreds of people through these rounds, and I still use the breathing myself. I am not here to talk you out of it. I am here because the internet is full of people teaching it who have never watched somebody go down mid round, and I have, more than once. It is not dramatic. Someone simply stops being there for a few seconds and their body folds.
On a mat that is a story you tell afterwards. Next to a plunge tub it is a very different story, and people have died doing this in water. So this article gives you the honest version: what the breathing does, the rules that are not negotiable, the protocol, and who should not be doing it at all.
What Wim Hof breathing actually does
The technique is controlled hyperventilation followed by a breath hold. Understanding those two halves is what makes the safety rules obvious rather than arbitrary.
When you take 30 to 40 full fast breaths, you are not loading up on oxygen. Your blood is already close to fully saturated. What you are doing is blowing off carbon dioxide, and CO2 is what creates the urge to breathe. Drop it low enough and blood chemistry shifts alkaline, blood vessels constrict slightly, and you get the tingling in your hands and face and the light headed feeling. That is respiratory alkalosis. It is temporary and it is normal for this practice.
Then you empty your lungs and hold. The hold feels effortless at first, because the alarm that normally makes you breathe is CO2 and you have just removed most of it. Meanwhile oxygen keeps falling with nothing telling you about it. That combination, a suppressed alarm and a real oxygen decline, is precisely why people black out without warning. It is called shallow water blackout in the freediving world, and the mechanism is identical whether you are in a pool or on your living room floor. The adrenaline surge that follows the hold is real too, and it is where a lot of the reported effects on inflammation and stress tolerance come from.
The rules that are not negotiable
- Never in or near water. Not in a bath, not in a shower, not in a pool, not at the edge of a plunge tub, not on a boat, not at the beach. This is the rule that has actually killed people, and it is the one most often broken by people who feel experienced.
- Never while driving, and never in the hour before you drive if you are new to it.
- Sit or lie down. Always. If you faint sitting against a wall or lying on the floor, nothing happens. If you faint standing, you fall onto whatever is behind you.
- Never do the breathing and then get into cold water. This is the most common dangerous mistake I see. Breathing rounds and cold immersion are two separate practices with a clear gap between them. Do your rounds, come back to normal breathing, then plunge if you want to plunge.
- Do not push the holds. A retention is not a competition. If you are chasing a personal best you have already left the practice behind.
- Alone is fine on land, but tell someone the first few times. Especially if you have ever fainted for any reason.
Learn the rules once and they cost you nothing. The tension in this method has never been the breathing itself, it has been the culture of pushing that grew up around it.
Who should not do this
Some people should not be doing intense breath holds at all, and there is no version of this where enthusiasm changes that. Speak with your doctor first, and treat the following as a genuine stop rather than a formality: pregnancy, epilepsy or a seizure history, any heart condition including arrhythmia or a history of heart attack, high blood pressure that is not controlled, a history of stroke, an aneurysm, severe asthma or COPD, and a history of fainting or blackouts. If you live with panic disorder or unprocessed trauma, be careful and go slowly. This style of breathing can pull material to the surface fast, and doing that alone is not the same as doing it supported.
The protocol, done properly
Sit against a wall or lie on your back somewhere soft. Nothing near your head. Give yourself twenty minutes, on an empty or near empty stomach, ideally in the morning.
- 30 to 40 deep breaths. In fully through the nose or mouth, let it fall out without forcing. Belly first, then chest. Steady rhythm, not frantic. Tingling and light headedness are expected.
- Exhale and hold. After the last breath, let the air out and hold with empty lungs. Stay relaxed. Do not fight for time. Hold until you feel a clear urge to breathe, not until you are struggling.
- Recovery breath. Take one full inhale, hold it for about fifteen seconds, then release.
- Repeat for three rounds. Holds usually lengthen naturally across rounds. Let that happen or do not, either is fine.
- Then lie still for two minutes. This is the part everyone skips and it is where the practice lands. The parasympathetic rebound after the last round is the whole point.
Stop immediately for chest pain, a pounding headache, cramping in the hands that will not release, or genuine panic. Breathe normally, wait, and come back another day at a lower dose. A round you cut short teaches you far more than a round you survived.
Where it fits, and where it does not
This is a powerful practice and it is not a daily calming tool. Wim Hof breathing is stimulating, it is a deliberate stress, and using it to settle an anxious system usually backfires. When you are activated you want the opposite shape: slow nasal breathing with long exhales, or the physiological sigh. Save the rounds for the morning, two or three times a week, as training rather than treatment.
That distinction is why I built The Vagal Method the way I did. Breath, heat, and cold in sequence, with the intensity placed where it belongs and the recovery treated as the actual work. Choosing a hard thing on purpose is how the hard things you did not choose stop breaking you, and the return afterwards is what you are really training. If you want the fuller comparison, read Wim Hof Method vs The Vagal Method, and if you want the gentler daily practice that builds the same capacity, start with CO2 tolerance training.
Before you change anything, get a baseline. The free Vagal Tone Breath Test takes about three minutes and shows you how fast your system currently returns to calm, and the guided sessions, including safe breath hold work, are in The Vagal Vault.
This article is education, not medical advice. Wim Hof breathing carries real risk of fainting and should never be practised in or near water. If you have any medical condition, are pregnant, or are unsure, speak with a qualified healthcare provider before you begin.
Want a daily 2-minute reset, a full breathwork library, and a way to track your breath, sauna, and cold in one place? That is The Vagal Vault.