The betel leaf is cultivated mostly in South and Southeast Asia, from Pakistan[6] to Papua New Guinea.[7] It needs a compatible tree or a long pole for support. Betel requires well-drained fertile soil. Waterlogged, saline and alkali soils are unsuitable for its cultivation.[8]

In Bangladesh, farmers called barui[9] prepare a garden called a barouj in which to grow betel. The barouj is fenced with bamboo sticks and coconut leaves. The soil is plowed into furrows of 10 to 15 m length, 75 cm in width and 75 cm depth. Oil cakesmanure, and leaves are thoroughly incorporated with the topsoil of the furrows and wood ash. The cuttings are planted at the beginning of the monsoon season.