This is by no means a comprehensive description of the fight, explaining all the mechanics (you will need to go to a site like icy veins for that). Nor is it a description of the best way to heal it, as I am not sure if my way is they best way. What I can tell you, is this is how I healed it in my 25 man guild that got it down, and I was the number two heals in the group, only behind a better geared holy priest. (This is post 5.1 nerf and hotfix mana nerf)
Garalon has the same mechanics the whole fight, so once you get it down, the fight becomes very manageable. The challenge is not in performing many mechanics at different times, but instead perfecting a few mechanics so you can do them over and over without error. As such, once you get it figured out, it is just a matter of doing the same thing over and over.
First off, you need to know how to do pheremones, in case you are asked to do it. (hopefully you won't as it makes it difficult to heal. The better your heal team is, the higher you can build stacks and the less likely you will need to do pheremones). Pheremones is a stacking debuff that increases the damage you take for a certain period of time. (I think it was 2 minutes) The more stacks you build, the more damage the raid takes as well, so every so often, you need to drop the stacks back to zero, and you do this by giving pheremones to another player. You do this by having that player come stand on you, then it will transfer. Once it transfers, you need to get away from that player immediately, so have separate directions set aside in advance for each player to run.
The reason for separating so quickly is that everytime a pheremone transfers players, Garalon does a massive aoe hit to the whole raid, and stuns all players for a few seconds. If you don't immediately separate, it will cause the pheremones to go back to you, causing a second crush, and since your stacks are still high, you would need to immediately transfer again, causing a third crush, and likely a wipe.
In addition, when you have pheromones, you periodically drop puddles of goo on the ground, so you need to stay out of those and kite outside the room so as to leave room in the middle for your raid to move. Pheromones is THE toughest part of the fight, if you get that figured out, you are close to a kill.
Now on to how to heal it as a monk. Start by placing a statue near the middle of the room. This will allow you to reach more players then with other placements, and will make it so you dont have to keep re-casting it every 30 seconds. When the pull occurs, use xuen right off the bat, and on cd. You may need to cast crackling jade lightening for a few seconds to make sure he attacks his target. Then, immediately cast life cocoon on a tank, and recast it on one of the tanks on cd after that. Then, immediately cast renewing mist and continue to cast it on cd. Whenever you have 6 renewing mists hots rolling and thunder focus tea up, use thunder focus tea, and then uplift to reset the stacks, and allow you to get 12 renewing mists rolling on the raid. Then just uplift to spend your extra chi. Make sure to glyph mana tea and use it on cd or you will oom very fast. If you have done all these things and still have open time, cast soothing mist on whoever is in range and is lowest health. If someone is almost dead, use surging mist while you cast soothing mists, but only if nothing else is available. Lastly, use Revival on the first crush, and then the very first crush after the cd resets throughout the rest of the fight. (Or save it for especially bad crushes, which will be more likely to save a wipe, but reduce your output overall due to a lack of getting an extra revival in...how good your healing team is will be a key player in which approach you take)
A few tips to finish off with. Do not EVER go in the purple circle under Garalon. Do not EVER go in the yellow goo left on the floor by pheromones, and do not EVER go in front of the boss where the tanks are. All three of these will cause you to die, and in some cases, cause the raid to wipe. If things get ugly, use your personal cooldowns to help with the damage, because if you are dead, you can't heal.
Do all these things repeatedly with perfection, along with your 24 other raid members, and you will get a kill.
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