White Buffalo Calf Woman is the figure who, in Lakota tradition, brought the sacred pipe and taught the people how to pray; Joseph Epes Brown's account of the seven rites of the Oglala Lakota, recorded from the elder Black Elk, places the girl's puberty rite among a small set of ceremonies she is understood to have established, alongside the sweat lodge, the vision quest and the sun dance. Isnati Awicalowanpi is therefore not a stand-alone folk custom but one part of a connected ceremonial system that Lakota religious life holds together as a whole.
The ceremony continues today as a living practice among Lakota communities and, in related forms, among other Plains nations, taught and conducted by those who hold the ceremonial knowledge within those communities rather than reconstructed from published ethnography. Some elements of how the rite is conducted are not shared outside the community that practises it, and this account, drawn from published academic sources, describes its structure and significance rather than claiming to record everything a family or a holy man today would do. Families today often adapt the ceremony's length or setting to the demands of school and work while keeping its core structure intact, a pattern of accommodation without abandonment that runs through many living Lakota ceremonies rather than being unique to this one.