Dr Ron always said that they would hang around the foot or mantle (not sure of the proper term), and then they would suck on the snail. When they are done feeding, they tend to hang around the bottom of the shell near the foot until they want to feed again.
To get rid of them, I pull the Trochus snail out, turn it over, and use my fingers or a pin or toothpick to flick all of the pyramid snails off the Trochus, then I put the Trochus back in the tank.
When the Trochus is on the front glass, it's really obvious that pyramids are riding on it. The pyramid snails are hardly ever on the top of the Trochus shell (probably because it's too far to walk for the next free meal).
Dr Ron would say that the pyramids weaken their host. I would agree. However, when it is happening the Trochus don't seem to act like someone is sucking or bothering them.
I first got the pyramids with a cup of sand. When I first saw them, I was excited to find out that I had "baby snails". Then, when I saw them riding on the Trochus, I did more research and realized that they were in fact parasites.
Hope that answers your questions.
Best of luck,
Roy