Many Hindu traditions and customs are followed by Kerala Churches. Among Hindus and Kerala Christians consanguinous marriages are permitted only if the partners are separated at least four generations. Both the Hindu women and the Nazarani women at the time of marriage have an amulet tied around their neck by the bridegroom. It is called "Thali" by Hindu and "Minnu" by Kerala Christians. There are many other Hindu traditions followed by Christians such as dowry system, decorations with rice flower, and forty one day observances after a death in the family.

Syrian Christians celebrate all Christian religious days. The more orthodox people maintain Lent for twenty four days prior to Christmas and fifty days prior to Easter. Those who do so, eat only vegetarian meals and refrain from consuming alcoholic beverages during Lent. Easter week is very important. There are special Church services on Palm Sunday and also every evening including Good Friday,and on Pesaha (Maundy Thursday), there is a special Church service with Holy Communion. Good Friday is of great significance and Church services start at nine o'clock in the morning and continue on to three o'clock in the afternoon. On Easter Sunday Church service starts at four o'clock in the morning and concludes with Holy Communion. Easter breakfast and family get together is traditional.

Only recently westerners have begun to recognize Christianity's Eastern foundation. Christianity in Kerala is older than Rome according to the St.Thomas tradition. It began as an Oriental religion. Syrian Christian priests wear cassocks, caps and beards as seen also in west Asia. The Syrian Christians have a special identity. Their customs and manners are different from those of other Christian groups. Their names are unique, Thomas is Mammen, Peter is Oommen, Paul is Peeli, Elizabeth is Eliamma and so on. Some Syrian Christians still believe in astrology and horoscopes. Arranged marriages are common. As mentioned previously during the marriage ceremony exchange of rings is less important than the Thali which the bridegroom ties around the bride's neck.

Many Syrian Christian practices are distinctively eastern and early western missionaries found them primitive and ignorant in their point of view.

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