Tingsha are one of several small metal instruments in the Tibetan Buddhist ritual toolkit, alongside the larger hand bell used in tantric practice, the damaru hand drum, and the dungchen and kangling trumpets used in fuller monastic ceremonies, and tingsha's specific niche within that set is marking clear, discrete moments rather than sustaining a continuous sound the way the horns do or providing rhythmic pulse the way the damaru does. Their small size and simple technique, struck together and allowed to ring rather than played in a complex rhythmic pattern, also make them one of the more accessible instruments in Tibetan Buddhist material culture for individual practitioners outside a monastic setting, used in personal meditation practice as well as in group ritual.
Pairs of tingsha are traditionally cast so that the two cymbals are matched in pitch to each other, and practitioners and makers alike treat a well matched pair, producing a clean, consonant ring rather than a beating or dissonant one, as a mark of quality distinct from mere decoration. Well matched antique pairs are sometimes kept and handed down specifically for that acoustic quality rather than for any ritual seniority attached to their age.