The temple’s origins are ancient and it developed within the Shingon tradition that spread from the Heian period. Its position on the Saigoku Kannon Pilgrimage ties it to a circuit traditionally organized in the late 10th century under Emperor Kazan. Tsubosaka-dera’s fame widened in the Edo period through the popular tale and stage work Tsubosaka Kannon Reigenki, which associates the temple’s Kannon with the healing of blindness.

Visitors encounter the enshrined image of Jūichimen Senjū Kannon, central to worship and pilgrimage rites such as receiving the Saigoku nokyō (stamp) in pilgrimage books. The hilltop precincts on Mount Tsubosaka include broad terraces with large stone images of Kannon and Buddha and open views toward the Asuka and Yoshino area. Paths and courtyards connect the worship spaces and statuary across the slopes.

As a Saigoku site, Tsubosaka-dera functions as a center of Kannon faith and a destination for prayers for eyesight and health, drawing both organized pilgrims and local worshippers. It is not a UNESCO World Heritage site, but it stands within Nara Prefecture’s concentration of early Buddhist centers and complements visits to nearby Asuka and Yoshino. Its Saigoku rank as No. 6 is shown on temple seals and signboards, marking its role in one of Japan’s oldest and best-known pilgrimage routes.