Because we don't allow doubles on recreational trips, I only see sidemount divers on tech trips. Because we cater mostly to rebreather divers, we rarely see open circuit divers. For the kind of trips we prefer to do, the gas bill for OC divers typically runs $700 to $1,000 per trip. Rebreather divers run a gas bill of ....nothing. The gas cost is insignificant compared to the trip cost, so I throw the gas in.
I've had 2 sidemount divers on my tech trips, both on the Oriskany. Rob Neto was one of them, and he was in the advanced learning stages at the time, and also doing his trimix instructor qualifications. The other was Lee Ann Waggener, who has a bad back. Rob was fine, no issues with steel 111's or 112's or 105's sidemount. Lee Ann had some trouble as I remember negotiating the hand holds and rails at the top of the ladder. They are built for single tank OC divers, so having a wide stance means you will have to come through sideways. With a bad back, that twisting motion was difficult for her to do. If I set my handholds further apart, however, it would be less comfortable for my regular and far more revenue producing client.
And that's the rub. Most tech divers (or tech wannabees) want to know why they can't bring doubles on a recreational boat, because they want to practice, or why I discourage sidemount, or why can't I modify the boat to do (whatever). I can, and it isn't expensive to make these changes, but for every one who wants something special, I have 20 that want what I offer. If I let a team on with doubles, then the other 22 have just a little less space. If I encourage sidemount divers to come along, everyone else has to wait just a little longer to get in. Is it a big deal if I have 1 or 2? No, of course not, but when I have 10 or 12, now we are making a real impact. This dive boat is a business, and if I offer the 22 excellent diving, great food, and comfortable bunks, well then, the business is going to make money. If I let the 22 know that I really don't care about their comfort in deference to the 1 or 2 who want something special, who also pay the same price, then that word will get around too. And it really works that way. You should hear the grumbling when someone holds up the line because they are fiddling with their camera, or can't get their fins on (again), or whatever.
Answer is, everyone jumps in in all of their kit, ready to submerge. Many times we are hot dropping the Wilkes Barre or some other deep high current wreck. We don't climb in and wait for someone to hand us stuff. The Oriskany diving is from a mooring, and Rob went in with 2 sidemount, 2 stages, and a scooter. I jump with BM doubles, a scooter, and an 80 and 40 stage.