Smicrostigma viride can easily be grown from cuttings or seed. Tip cuttings, about 8 cm in length, can be taken in autumn or spring with a sharp knife. Plant the cuttings in a well-aerated medium, such as coarse river sand. Place the container in a warm, but partially shaded area, and keep the soil moist. Check when roots appear at the drainage holes before transplanting in a sandy, loamy soil. Cuttings will need hardening off when transferred from a shady area to direct sunlight.

Harvest the seed when the capsules have dried out. Sow the seeds in spring in a well-drained soil consisting of a sandy loam soil (2 parts sand, 1 part loam and 1 part compost). To increase the germination rate, the seeds are given a ‘warm water treatment’; place in boiling water and leave to cool. Soak for twelve hours before sowing. When sowing seed, care should be taken to sow the seed sparingly in the seed tray, and cover with a layer of sand. This will reduce seedlings competing for nutrients, water and light to control fungal diseases. Keep the seed tray moist (use a mist sprayer) and place in a warm, but partially shaded, position. The seeds will germinate within two weeks and should be treated with a fungicide to reduce damping off. When the seedlings reach a height of 10 cm, they should be potted up in a loamy soil and gradually hardened off.

Smicrostigma is ideal for well-drained rockeries and can be planted with companion plants such as the spring-flowering Muir's aloe (Aloe lineata var. muirii), Rhigozum obovatum, masses of Drosanthemum speciosum with bright red flowers, Pelargonium abrotanifolium and the striking partridge-breast aloe (Goniealoe variegata) with its mottled leaves and red flowers which prefer to grow in the shade of shrubs. This plant is also suitable for growing in containers.

Smicrostigma viride is susceptible to white scale attacks; use a horticultural base oil to smother these pests.