Hookah (also known as shisha, nargileh, or kalian) involves adults smoking flavored tobacco from a water pipe in which they pass a hose and take a puff among family or friends. It centers around conversations and promotes a more connectedness among those participating. Hookah is deeply rooted in a cultural tradition that has been present throughout generations among Indian, Persian, Turkish, Egyptian, and other Middle Eastern families. Its gesture is more than an entertaining social activity or means to relax, it’s a way that families, relatives, friends, and business associates in these cultures provide hospitality and strengthen bonds with one another.