It is usually achieved through cross-dressing, where the male submissive is dressed in female attire. There are many degrees of feminisation, from just wearing female undergarments to being fully dressed in female attire and make-up.
Some submissive males often take on tasks, overtly feminine behaviours and roles, and adopt female mannerisms and postures in such activities as sitting, walking and acting in a feminine manner.
The costume is sometimes very domestic, suggestive of servitude and often out-dated, distancing the submissive male from acceptable feminine clothing and even farther from contemporary conventional male attire. This may also be an opportunity for ageplay, further diminishing the submissive male's status.
Alternatively, the costume may sometimes be very suggestive (e.g. mini-skirts), linked to other male fetishes regarding female clothing (e.g. PVC or latex attire), and exaggerating female characterstics (e.g. high heels and corsets).
Naming may also be employed. A submissive male may be given a female name, designated as "a good girl", or given a name which is an explicit insult applicable to females, such as "whore" or "bitch' or even "slut" which while it may not be an insult per se, implies an out-of-control female lust.