Gibbaeum heathii can easily be propagated from seed and cuttings. Harvest seeds in summer (December to February) and sow seeds in autumn (March to April), or late spring (October to November). Use a sterilized, shallow seedling tray and fill it up with a mixture of 60% coarse river sand and 40% sieved compost. Sow seeds on top of the mix, ensuring that they are spread evenly. Cover with a fine layer of sand, and then water, using a mist sprayer. Seedlings will germinate within 1 or 2 weeks. Propagation by cuttings is also easy. Remove the whole plant during autumn (March to April). Take cuttings just below the growing point, where the body meets the stem. Ensure cuttings do not tear by using sharp secateurs. A rooting hormone can be applied to hasten root formation. Place cuttings in a growing medium mixture of 60% coarse river sand and 40% sieved compost, allowing enough space between cuttings. Always use sterilized equipment and growing mediums. Care should be taken not to overwater propagation material. Seedling and cuttings can be transplanted the following season and placed in a medium with a high compost ratio. Place rooted material in an area with partial sunlight.

Do not give too much water during the summer period, as plants might rot. G. heathii is not affected by too many pests, but occasionally it does get attacked by mealy bugs, woolly aphids and scale. A general insecticide can be used to prevent death by these pests.

G.heathii can be used as a windowsill pot plant or in a small rockery.