The Mdumbeni River Valley African Hyacinth is easily maintained in containers or in the garden, away from its natural range. The species is best suited to be grown in containers, unless a similar summer rainfall regime is present.

The bulbs prefer to be planted in a well-drained, sandy loam soil, with the addition of some sifted kraal (cattle) manure or well-matured compost. Plants in containers should be watered sparingly in summer and allowed to receive moderate rainfall. During the dry winter dormancy period, the pots should be moved out of the rain and placed in a dry, cool area, with good air movement. Pots should be allowed to completely dry out during the dormant winter period. The species can withstand very cold winter temperatures, but it is best to keep them quite dry during these periods. Watering can commence at the onset of warmer weather (September to October in South Africa).

Propagation from seed is the most successful method of producing more plants. Seed must be sown fresh (as it cannot be stored) in spring or summer, in pots or trays filled with the sifted potting mixture mentioned above. Sow the seed on a firmly tamped surface and cover lightly with the same mixture, approximately 2–4 mm. deep. The seed trays should be kept in a well-lit and warm position, and kept damp for between 2 to 3 weeks, during germination. After emergence, the tiny seedlings are ideally retained in their natal container until they are large enough to handle or until 1 or more years old. Plants may reach flowering size within the third year of germination. Bulbs can be used to good effect as curiosities in containers or planted in the garden amongst rocks and at the base of larger succulent plants, such as aloes.