The purpose of this survey was to assess the prevalence of hookah use among children and adolescents aged 12 – 16 in Belarus. This survey involved a total of 3,485 people, including 1,737 girls and 1,726 boys, and included six questions from the main questionnaire of the GYTS aimed at hookah consumption. The statistical analysis was performed using the SUDAAN software package; a 95% confidence interval was calculated to determine weighted prevalence estimates and standard errors. According to the GYTS survey conducted in the Republic of Belarus in 2021, hookah smoking is becoming increasingly popular. The number of adolescents who have ever smoked hookah is 9.3%. The prevalence of regular hookah smokers is quite low (0.9%). However, there are justified fears that teens who have never smoked cigarettes but have tried hookah are more likely to start smoking cigarettes and become regular cigarette smokers within two years. The frequency of hookah use naturally increases with age. The number of adolescents who have ever smoked hookah in groups of 14, 15, and 16 years of age, and among students in 9th, and 10th grades is 2.6 times more than among students aged 13 years and the 7th grade, respectively (10.7%, 11.7% and 18.2% of adolescents, respectively, vs. 5.5% of 12-year-olds, with p < 0.001; 13.0% and 14.2% of students in the 9th and 10th grades respectively, vs. 5.1% of students in the 7th grade, p<0.001). This national survey provides the first data on the prevalence of hookah smoking among children and adolescents in Belarus and allows us to conclude that the growing popularity of waterpipe tobacco smoking dictates the need for timely recommendations on waterpipe smoking policy.