In some of the cantons of Central and Eastern Switzerland and in districts of Canton Schwyz and Canton Graubünden this form of direct democracy possible only in smaller areas still exists. Once a year, a few thousand voters congregate in the open for the Landsgemeinde, a folkmute or openair assembly.

They select representatives for cantonal offices and dispose of business pertaining to cantonal matters within the assembly's jurisdiction. Sometimes there are heated discussions, in which anyone can participate. Voting is done by the raising of hands, with experienced men estimating whether a majority exists. In case of doubt, an exact count is called for. In harmony with the venerable age of the Landsgemeinde, certain traditions and ceremonies have remained, but these vary from place to place.

The men of Appenzell (the women have no vote on cantonal issues, but do on federal questions) are obliged to carry a sword.

In Glarus, the children are allowed to stand within the ring formed by the voters, so that they may learn their duties as a citizen in the years to come. During the discussions, the Landammann, or highest official, often supports himself with his sword of office, which he carries at the head of the opening procession as a sign of the dignity of his position.

In Stans, the signal to walk to the meeting place outside the town is given by blowing an ancient horn, a reminder of the ancient call to battle.