Subsurface flow wetlands can be further classified as horizontal flow or vertical flow constructed wetlands. In the vertical flow constructed wetland, the effluent moves vertically from the planted layer down through the substrate and out (requiring air pumps to aerate the bed). In the horizontal flow constructed wetland the effluent moves horizontally via gravity, parallel to the surface, with no surface water thus avoiding mosquito breeding. Vertical flow constructed wetlands are considered to be more efficient with less area required compared to horizontal flow constructed wetlands. However, they need to be interval-loaded and their design requires more know-how while horizontal flow constructed wetlands can receive wastewater continuously and are easier to build.