Exploitation of hydrothermal systems on active basaltic volcanoes poses some unique questions about the role of volcanism and hydrothermal system evolution. Volcanic activity creates and maintains hydrothermal systems while earthquakes create permeable fractures that, at least temporarily, enhance circulation. Magma and water, possibly hydrothermal water, can interact violently to produce explosive eruptions. Finally, we speculate on whether volcanic behavior can be affected by high rates of heat extraction.