I haven't used airstones/airpumps on most of my tanks. When I was a young man still living with the parents, I had 5 tanks in my room from 5gal to 180gal, and having airpumps would have driven me mad. I used powerheads (without the airline attached), hobs and cannisters and never had problems with too little aeration. Even when my 55 sprang a leak and I had to stuff all the fish from it into an already stocked 20 gallon, there were no problems. No airstones, no airpumps, no problems. Do you need them? No. Do they work? Yes. The real question you have to ask is: Do you want them? Only you can answer that.