Yes, smoking tobacco out of bong is worse than cigarettes. Waterpipe tobacco smoking (smoking tobacco out of a bong) is a centuries-old tobacco use method with an ambiguous origin and links to the countries of southwest Asia and north Africa. Although known by many different names (eg, hookah, narghile, shisha), the term waterpipe has been used for the last 2 decades in the English language scientific literature to refer to any of a variety of instruments that involve passing tobacco smoke through water before inhalation. Contrary to popular belief that waterpipe tobacco smoking is less lethal than cigarette smoking, emerging research indicates that both involve comparable health risks including nicotine/tobacco dependence. In addition, waterpipe tobacco smoking may be, for some individuals, a precursor to cigarette smoking.