Wild balsam grows fast when planted in suitable conditions, such as cool, shady areas next to a water feature or stream where there is flowing water. Responds very well in protected areas where there is no disturbance, such as trampling from passing foot traffic.

Wild balsam is best propagated by cuttings and even better from seeds. Take cuttings from a healthy, disease-free mother stock, preferably early morning when the plant is at its full vigour. Use a sharp blade, as a blunt secateur might damage the delicate stem. Make a cutting of about 10–15 cm, cut below the node and use a rooting hormone powder for better rooting. Place the cuttings in a warm area at about 20–25ºC, with free-flowing, but humid moist air. Cuttings should start rooting after 4 to 5 weeks. When sufficient roots have been formed, transplant into  plant bags using a general mix of 2 parts sand, 2 parts fine bark and 2 parts compost (2:2:2).

This species and all other plants in its family, are susceptible to spider mites, specially when kept in controlled environment, such as the glasshouse. Symptoms can be identified by looking at deformed leaves or curling leaves with yellow dots, sometimes with webs underneath the leaves. The spider mite can be spotted by using a magnifying glass. The pests can be controlled by using available miticides on the markets, preferably non-toxic to humans and the environment.