The original Kantha craft process involves layering worn clothes together and binding them with variations of the simple running stitch. This process is called Kantha quilting. Even though the craft uses only one kind of stitch, it is the numerous variations and intricacy with which it is executed that make the art beautiful. Motifs used in embroidery may be geometric or very elaborate in nature. Flowers, trees, gods and goddesses make for the more popular motifs used.
The embroidered Kantha cloth has many uses including women's shawls and covers for mirrors, boxes, and pillows. In the best examples, the entire cloth is covered with running stitches, employing beautiful motifs of flowers, animals birds and geometrical shapes, as well as themes from everyday activities. The stitching on the cloth gives it a slight wrinkled, wavy effect. Contemporary Kantha is applied to a wider range of garments such as sarees, dupatta, throws, scarves, shirts for men and women, bedding and other furnishing fabrics, mostly using cotton and silk.