After you plug the pads on, and then put batteries in.
1,You press ON button, the device turns on. 2, press Mode button to select mode, at this stage, it doesn't vibrating at all. 3, you press ON button again after you selecting the proper mode. The it will start vibrating. Attention: the device turns off automatically after 15mins, to avoid over-time treatment. You have to manually turn it on again.