As expected, Operation Hernia has encountered several challenges during the course of its development.
- Communications and customs clearance have presented difficulties in the past, but have become less frequent as the programme gains experience and has become well-established in many different centres.
- Power cuts during surgery sometime affect lighting and cauterization equipment.
- Surgical instruments are few, suboptimal and often damaged by continuous use. Replacements and scissor sharpeners are often needed.
- The operating table is often at low height relative to some European surgeons and in many cases cannot be easily adjusted.