In most cases you don't. Pointers are usually a bit further down the ladder of abstraction. Languages like Java, Python, JS, do use pointers internally, but you as a user don't really need to worry about it. Knowing about pointers is helpful in the sense that you'll have a better grasp of how things work "under the hood", but you can make do without knowing them.
NOTE: Reference types are NOT pointers, though they are implemented USING pointers, they're a lot less flexible (in a good way) and it's a lot harder to shoot yourself in the foot with them
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In most cases you don't. Pointers are usually a bit further down the ladder of abstraction. Languages like Java, Python, JS, do use pointers internally, but you as a user don't really need to worry about it. Knowing about pointers is helpful in the sense that you'll have a better grasp of how things work "under the hood", but you can make do without knowing them.
NOTE: Reference types are NOT pointers, though they are implemented USING pointers, they're a lot less flexible (in a good way) and it's a lot harder to shoot yourself in the foot with them