OBJECTIVES:  Shisha smoking (SS) is increasing in the urban community of Pakistan and it increases the risk of cancer, cardiovascular and respiratory diseases. Currently government is planning toward jurisdiction to control SS in country. This study was conducted to analyze the prevalence of SS among adult male cigarette smokers of Multan, Pakistan. METHODS:  A cross-sectional study was conducted and 476 respondents aged between 18 to 40 years were selected. Prevalence was assessed through self administered questionnaire which was developed and validated before administering to respondents. Statistical analysis was done by SPSS 16 RESULTS:  Among participants 40 (8.40%) individuals smoke shisha and 2.73 % succeeded in cessation of SS. Evaluation of socioeconomics profile of shisha smokers reveals that 72.5% belongs to high income families, 25 % were from middle income families and 2.5 have poor family background. 82.5% were well educated and 17.5% had low level schooling. 2.5 % are medical student. While 62.5% were students staying in hostels. Among them 52.5% started SS before the age of 20 years, 37.5% between 21-25, 5% between 26-30,2.5% between 31-35 and 2.5% between 36-40 years of the their age. 87.5% believe that SS is more harmful than cigarette smoking. While 27.5% wants SS cessation 15 % tried to SS cessation. CONCLUSIONS:  SS is increasing in adults and its prevalence is high in students staying in hostels. SS also found in medical students. Its prevalence is higher in high income families as compared to middle income and low income families. Half of peoples start SS before the age of 20 years. Awareness about the harmful effect of SS is quite high, willingness for cessation is low.