Hot water suits are used in cold water commercial surface-supplied diving. A hose in the diver's umbilical line, which links the diver to the surface support, carries the hot water from a heater at the surface down to the suit. The diver controls the flow rate of the water from a valve near his waist, allowing him to vary the warmth of the suit in response to changes in environmental conditions and workload. Tubes inside the suit distribute the water to the limbs, chest, and back. Special boots, gloves, and hood are worn to extend heating to the extremities. Breathing gas heating at the helmet is available by using a hot water shroud over the helmet inlet piping between the valve block and the regulator. These suits are normally made of foamed neoprene and are similar to wetsuits in construction and appearance, but they do not fit as closely by design, and need not be very thick, as their primary function is to temporarily retain and guide the flow of the heating water. The wrists and ankles of the suit are open, allowing water to flush out of the suit as it is replenished with fresh hot water from the surface.