Lava rock: Be sure to either rinse in a bucket which is dumped outside or to rinse outside under the hose. The dust can clog up drains/pipes.
Yes, it is very cheap compared to most of the other medium and it doesn't need replaced every year. It doesn't decay so one never needs to worry about removing bits of bark off of roots. To re-pot, one can just drop the entire mass of roots and rock into a larger pot and add more rock. One can also use a larger pot and leave the orchid in the same pot for a few years. In the case of some orchids, it is a permanent set up. In the bag, too, are different sizes of rock.
Just a few notes: Lava rock has sharp edges and the growing tips of roots are very tender. I usually am very careful when laying the rock around the roots and, if the orchid has the potential to wiggle in the pot, I stake it very well and try not to move the orchid until the roots are established.
Because it is a long-term medium, one needs to flush the medium well now and then to get rid of excess fertilizers that build-up.
As it doesn't use nitrogen during the decay process, you can actually use fertilizers with less nitrogen.
It doesn't contribute any nutrients or lower pH through decay, either.
Lava rock is not always the best choice of medium. For Bulbophyllum, Masdevallia, Draculas, and, occasionally, (when I don't repot them in time) Cyncnoches, I use a good quality NZ sphagnum moss. These need to stay moist all the time and the long-fibers, combined with either basket pots or a shallow bowl, leaves plenty of air get to the roots.
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