
United Kingdom – In the United Kingdom, hookahs are most commonly found in "shisha bars" run by Lebanese, Pakistani or Egyptian people.Netherlands – Hookahs are now gaining popularity in the Netherlands, particularly in Rotterdam and Amsterdam.While previously shisha was smuggled via ports in Rotterdam and Hamburg, a trend was noted where the tobacco was produced in hidden factories in Germany according to René Matschke, the chief of customs in Hamburg. The German customs authority recorded a growing trade with illegal and untaxed shisha tobacco in 2017. Germany – Hookahs are available in many establishments in Germany, particularly in Berlin, Cologne and the Ruhr Area and areas, and it is not only popular amongst Turkish people.Hookah smoking is common in many European and other countries including: The origins of hookah are controversial, even though most agree that it started either in ancient Persia or the Indian subcontinent. Waterpipes outside a café in Aleppo, Syria. This was proven in third party certified lab results. This has reduced the emission of harmful carbonyl compounds by up to 92% when compared to a standard shisha setup. Recently, some select Canadian lounges started to implement tea based flavours made with natural ingredients and pair them with heat management devices, coconut charcoals and carbon filters. These harmful chemicals are breathed in both by smokers and bystanders. Although herbal shisha does not contain tobacco or nicotine, when burned it does produce harmful chemicals, including heavy metals and polycyclic aromatic hydrocarbons, which can cause cancer and heart disease. In the United States, due to several state tobacco control laws, many shisha bars have made the transition from offering tobacco shisha to herbal shisha, which is tobacco-free and can legally be smoked indoors in areas that have restrictions on tobacco smoking.

Some offer Middle Eastern cuisine menu items. In the broadest sense, any restaurant or nightclub can be considered a shisha parlor or club if it offers patrons hookahs, shisha and a comfortable place to smoke. Some shisha parlors have well-equipped kitchens and are more akin to bistros. When alcohol is not sold, shisha parlors derive revenue from sales of coffee, tea, soft drinks and snack foods. Usually a disposable mouthpiece is provided for each user for hygienic reasons.

These bars differ from other bars only in the fact that they offer hookah. However, shisha parlors nowadays often distance themselves from the eastern cultures by offering hookah and alcohol without the cultural elements. Some people of Middle Eastern or South Asian extraction consider them a continuation of their own cultural traditions. Certain parlors offer modern hookahs with fruit bowls or other kinds of improvements over smoking hookah at home. In the United States and Europe, shisha parlors are most popular in college towns and urban areas and are regarded by some as a novel and chic way to socialize.

Many shisha parlors incorporate such elements as Islamic decor and Arabic music or Indian music and have traditional decor, but some are simply bars without the eastern cultural elements. In Western countries, shisha parlors are often owned and operated by people from the Arab world or the Indian Subcontinent where use of the hookah is a centuries-old tradition. A hookah and a variety of tobacco products are on display in a Harvard Square store window in Cambridge, Massachusetts, United States.
