The old man of the Andes has a slow growth rate and requires little to no water - irrigate moderately in the summer, provided that the soil is allowed to completely dry in between waterings. However, do not irrigate on humid or overcast days, and keep as dry as possible during the winter, especially in cold locations.
Repot when necessary - as often as once a year - and fertilize monthly from spring to summer for the best growth. Plant in a rich, fast draining cactus soil, adding pumice or perlite in a 1:1 ratio with soil to improve drainage. However, ensure that a pH between 6.1 and 7.8 is maintained. Provide direct sunlight for most of the day, if possible. Greater light exposure will encourage a dense coat of hair and the development of flowers. However, protect from very hot summer days. Additionally, protect from strong cold - the species tolerates USDA hardiness zones 8a to 10b, surviving 10°F, down to 5°F if kept completely dry. The old man of the Andes cactus can be propagated both from seed and woody stem cuttings. However, due to the slowness of growth, it is not recommended to propagate from seed. For cuttings, allow to fully callous before planting directly into soil.