Recreational diving surface supply applications (aka "hookah diving") may require special regulators and/or adjustments to regulator inter-stage pressures. Very long hoses may cause increased flow resistance and decreased gas volume delivery that can become significant depending on depth and work load. These issues may degrade the breathing performance of sport diving scuba regulators in more demanding hookah applications. There are also specialized safety considerations for surface supply diving.

Keep in mind that all SCUBA hoses will fail sooner or later either due to age, storage conditions or handling. Scuba hoses, regardless of brand and materials, require some minimal care. Do not allow hoses to receive prolonged exposure sunlight, as the heat and UV from strong sunlight will significantly shorten the life of the hose. Do not attempt to flush the inside of the hose with any form of solvent or other chemical, new hoses are factory clean and if you have any reason to think they are no longer clean then the hose should be replaced. Prior to every dive trip you should always pressurize and inspect your hoses for mechanical damage, corroded fittings, bulges and leaks. Dive Gear Express suggests replacing all SCUBA hoses every five years or 500 dives, whichever comes first.