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The antimension is placed in the center of the altar table and is unfolded only during the [[Divine Liturgy]], before the Anaphora. At the end of the Liturgy, the antimension is folded in thirds, and then in thirds again, so that when it is unfolded the creases form a cross. When folded, the antimension sits in the center of another slightly larger cloth, the ''[[eileton]]'' (Slavonic: ''Ilitón'') which is then folded around it in the same manner (3 x 3), encasing it completely. A flattened natural sponge is also kept inside the antimension, which is used to collect any crumbs which might fall onto the ''Holy Table''. When the antimension and eiliton are folded, the [[Gospel Book]] is laid on top of them.
The antimension must be consecrated and signed by a bishop. The antimension and the [[chrism]] are the means by which a [[bishop]] indicates his permission for [[priest]]s under his [[omophorion]] to celebrate the Divine Liturgy and [[Holy Mysteries]] in his absence, being in effect the church’s licence license to conduct divine services. If a bishop were to withdraw his permission to serve the Mysteries, he would do so by taking back the antimension and chrism from the priest. Whenever a bishop visits a [[church]] or [[monastery]] under his omophorion, he will enter the altar and inspect the antimension to be sure that it has been properly cared for, and that it is in fact the one that he issued.
Only a bishop, priest, or [[deacon]] is allowed to touch an antimension. Since the antimension is a consecrated object, they must be vested when they do so — the so—the deacon should be fully vested, and the priest vested in at least stole ([[epitrachelion]]) and cuffs ([[epimanikia]]).
The antimension is a substitute for the altar table. A priest may celebrate the Eucharist on the antimension even if the altar table is not properly consecrated. In emergencies, when an altar table is not available, the antimension serves a very important pastoral need by enabling the use of unconsecrated tables for divine services outside of churches or [[chapel]]s. Formerly if the priest celebrated at a consecrated altar, the sacred elements were placed only on the eileton. However, in current practice the priest always uses the antimension, even on a consecrated altar that has relics sealed in it.
At the Divine Liturgy, during the [[litany|Litanies]] (''Ektenias'') that precede the [[Great Entrance]] the eiliton is opened fully and the antimension is opened three-quarters of the way, leaving the top portion folded. Then, during the [[Litany of the Catechumens]], when the deacon says, "That He (God) may reveal unto them (the catechumens) the Gospel of righteousness," the priest unfolds the last portion of the antimension, revealing the mystery of Christ's death and resurrection. After the Entrance, the [[chalice]] and [[diskos]] are placed on the antimension and the [[Holy Gifts|Gifts]] (bread and wine) are consecrated. The antimension remains unfolded until after all have received [[Holy Communion]] and the chalice and diskos are returned to the [[Table of oblation]] (Prothesis). The deacon (or, if there is no deacon, the priest) must very carefully inspect the antimension to be sure there are no crumbs left on it. Then, it is folded, followed by folding the eiliton, and after which the [[Gospel]] Book placed on top of it.
Although St . [[Theodore the Studite]] (759-826) mentions "fabric altars," the term "antimension" is not found before the late twelfth century.
==Oriental Orthodox practice==
