Dear Editor, Dokha has been smoked by BEDOUINS and sailors in Arab countries since ancient times. It is a combination of dry tobacco leaves smoked in a pipe called “, Midwakh”, . This traditional pipe of Arab countries is a small tool, which has a small bowl and is filled with about 0. 5 g of Dokha for each use. People who smoke Dokha can usually completely burn and refill the tobacco in Midwakh only with two inhalations (1). This tobacco is a combination of tobacco leaves with all kinds of skins, herbs, spices, dried flowers, or dried fruits and has up to five times more nicotine than regular cigarettes (2). Although there is evidence of the effect of Dokha on people’, s health, health officials are concerned that Dokha may be considered a better alternative to other forms of smoking in the community (3). Dokha consumers often have the misconception that using Dokha is less harmful compared to tobacco and cigarettes (4). Dokha is a popular type of tobacco product that is used in various parts of the Middle East, especially the Persian Gulf (2). Nonetheless, tobacco is one of the leading causes of death in the world. According to reports, approximately 13 out of 24 million children (13-15 years old) worldwide use smokeless tobacco products (3)...