You know tibetan culture involved slavery before China involved themselves right? You know it was a feudalist society right? You're aware that they organized their society with a class of religious elite and military living luxuriously in thousand acre estate while the majority of its population would have their eyes gouged out for stealing 2 sheep from a Buddhist monetary because they were starving or have their hands broken if they opposed their Lord's decision to take their wife right?
Even white people in the 1800s were appalled by the brutality in which tibetan elite treated it's public.
In 1959, Anna Louise Strong visited an exhibition of torture equipment that had been used by the Tibetan overlords. There were handcuffs of all sizes, including small ones for children, and instruments for cutting off noses and ears, gouging out eyes, breaking off hands, and hamstringing legs. There were hot brands, whips, and special implements for disemboweling. The exhibition presented photographs and testimonies of victims who had been blinded or crippled or suffered amputations for thievery.
Flipping them on their backs is the safest way but it's very frightening for them and typically non consensual. I find that taking them on a date or two first usually reduces the chances of a lost limb without resorting to sexual assault