The Womb Realm is a very popular subject for mandalas, and along with the Diamond Realm (vajradhatu) Mandala forms the Mandala of the Two Realms. This mandala, along with the Diamond Realm, form the core of Japanese esoteric, or Shingon Buddhist, rituals, including the initiation or abhiseka ritual. In this ritual, new initiates are blindfolded, and are asked to toss a flower upon a mandala. Where the flower lands helps decide which Buddhist figure the student should devote themselves to.
In traditional Shingon Buddhist halls, the Womb Realm Mandala is hung on the east wall, symbolizing the young stage of Mahāvairocana Buddha. In this setting, the Diamond Realm Mandala is hung on the west wall symbolizing the final realization of Mahāvairocana Buddha.