The Ten day annual festival in this temple is held in Medam(April/May) with seventeen caparisoned temple elephants. It starts the day after the famous Thrissur Pooram and goes on for 10 days. The first day of utsavam (festival) falls under the star Uthram, and the ceremonial flag is hoisted which marks the beginning of the festival. On all ten days, a sheeveli (procession of caparisoned elephants) is held twice, one in the forenoon and one at night. A unique speciality of this temple utsavam is the fact that two baby elephants are made to stand on either side of the elephant carrying the thidambu (the deity). Seventeen elephants are engaged for the ceremonial rounds, to the accomplishment of Panchari Melam. The last Two days of festival, Panchavadyam will be accomplished. The head gears (Netti pattam in Malayalam language) of seven elephants are made of pure gold and rest of pure silver is another uniqueness of this temple. Brahmakalasam strictly following the Vedic and Tantric rituals are offered to the diety on 11 days in connection with the Festival. This is the unique feature of this temple.
Thripputhari on the Thiruvonam day in the month of Thulam (October-November) is another important occasion in the Temple. It is a day of feasting when the newly harvested rice is first cooked and offered to diety and then is partaken of by the devotees. The day after the feast, there is a special offering called Mukkudi, which is considered to be a divine medicine for all ailments. Mukkudi is an Ayurvedic mixture, the formula of which being prescribed by Kuttancherry Mooss, one of the Ashtavaidyas.