Acro dances are typically performed on hard stages with widely varying surfaces. Such floors differ substantially from a gymnastics floor, which is constructed by layering a standard surface over cushioning foam and spring floor. Whereas gymnasts perform barefoot and rely on the standard gymnastics floor for traction and cushioning, acro dancers seldom dance barefoot, instead depending on footwear such as acro shoes or foot thongs to provide the necessary traction and cushioning.

All of the most common types of acro footwear provide both traction and cushioning. In addition, acro performance surfaces are frequently rough, so acro footwear must protect the bottom of the foot from skin abrasion. Abrasion protection is particularly important on the ball of the foot, which is subjected to a great deal of friction during dance leaps and turns. Traction is essential to prevent lateral slipping that could result in dangerous falls to the hard floor. Cushioning serves to soften the impact when performing tricks such as tucks and layouts, in which a dancer's feet may strike the floor at high velocity. Cushioning is especially important when a Marley floor is unavailable, because uncovered performance surfaces have no cushioning whatsoever and thus may be extremely hard and unyielding.

Acro dancers most often wear jazz dance shoes, which are commonly referred to as acro shoes by acro dancers. Acro shoes are called jazz boots, jazz ankle boots, jazz booties and other names, by their various manufacturers. They are typically laceless, slip-on shoes, with tight-fitting leather uppers that are designed to prevent the dancer's feet from shifting inside the shoes. Because of their thin, pliable leather uppers and split soles, acro shoes have excellent flexibility, thus enabling dancers to attain both good dance form and acrobatic control. The sole is made of soft, composite rubber so as to provide both high traction and cushioning, and it provides excellent protection from skin abrasion as it covers the entire bottom of the foot.

Less commonly, acro dancers may wear foot thongs, which are variously called Dance Paws and FootUndeez, depending on the manufacturer. Foot thongs-which are slip-on, partial foot covers that protect only the ball of the foot-are sometimes preferred over acro shoes for aesthetic reasons. In particular, flesh colored foot thongs endow the wearer with the appearance of having bare feet, while retaining some degree of the traction, cushioning, and abrasion protection provided by acro shoes.

Acro dancers commonly wear flexible, form-fitting clothing for both safety and aesthetic reasons. Form-fitting clothing is preferred over loose clothing because the latter does not move synchronously with the body and thus may interfere with a dancer's ability to maintain control. This is especially important when a dancer is performing tricks, as loss of control can lead to serious injury. Aside from the safety aspect, form-fitting clothing also helps to expose a dancer's body lines, which can add significantly to the visual impact of an acro dance performance.

Competitive acro dancers frequently wear costumes when performing at dance competitions. Acro costumes often have loose fabric pieces such as short skirts, but the sizes and locations of these pieces are carefully calculated to ensure that they pose no safety risks. As an extra safety measure, skirts are sometimes pinned or stitched at the back below the waistline so that they will not hang at full length when the dancer is inverted, as in hand walking; this prevents the skirt-which might otherwise become entangled in the dancer's hair or costume headpiece-from contacting the dancer's head.