Flutophones have a hole at the bottom; the thumb of the left hand is used to cover this hole when playing. The index, middle and ring finger of the left hand is used to cover the upper three holes but the little finger is not used. The right thumb lays on the thumb rest while the index, middle, ring and little finger of the right hand covers the lower four holes. Little force is used to play the flutophone, simply blow softly into the mouthpiece to make a sound. Notes are created when the finger holes are opened and closed.