 Since we have talked about different aspects of informed consent, now it is important to discuss what could be the possible issues and challenges while administrating the informed consent to the population. The first one is language issues. The consent process should be conducted in a research language which is readable, understandable and very easy to be comprehended by the participants. If their primary language is there, they can easily understand it and understand the consent form and negotiate it. But if it is not in their language and they do not understand it, it needs to be translated into their own language so that they can read it and understand it in the same way and sign it. An institutional review board may require independent confirmation of the accuracy of the translation. If we are doing a research on a specific population who thinks it is a special language, even though maybe it is a specific type of language, we should give it a translated version of it. For example, if we are doing a research in Punjab and we are doing it in Punjabi language, then the way it is written in Punjabi language should be the same which most of the participants can understand in Punjabi. But if the people living in Punjab are aware of Urdu and can easily give their consent in Urdu language, then we can also give them the question of Urdu language. Similarly, when we are working with literate and illiterate people and we have to ask them a verbal concern or a verbal questionnaire, then they can also be asked in Urdu language or we can see it translated into Urdu as it is not possible in English. So, we have to make it on the basis of the requirement of the participants. For example, a lot of the students who research psychology, when they collect data from the students, they report that when we give a questionnaire in Urdu, then the students have a problem because they do not get a good Urdu. And when they give a questionnaire in English, then it is not easy for them. In such a situation, we should see whether we are equalising all the participants, maybe we should prepare English and Urdu versions of that questionnaire and then we should administer it on our participants. Then comes the cultural issues. There are few cultural differences other than language such as comfort in asking questions. For instance, if we are going to ask certain questions in one culture that may be very easy for them to respond on that and if we ask the same question in a different culture, then if there are no practices then it can be a little embarrassing to answer that question for people. For instance, if we talk about prayer and prayer, then if we ask a Muslim culture society whether they are praying then it is socially desirable that they reply and say yes. And if you want to give an honest answer that they do not pray, then they will feel a little embarrassed that they are not socially desirable. So the religious questions at that time may be very critical to be asked in different cultures. Similarly, if we ask a question in a very conservative society about women's liberal rights and we ask it in a western society then we can get responses in that as well in different ways. So we should see which culture is being researched according to that question. That is why we adapt and modify a lot of the questions and we develop them in an indigenous way. For example, while proficient in language, a researcher would ask a community member to help with consent procedure because participants will be more comfortable with that person. That is, if a researcher has come from a different community then he can take a translator or a local community member along with him who is asking whether you are comfortable with doing this research or not. Paul's expectations. Even when there are no language or cultural barriers, still few participants may have more Paul's expectations related to the study and this is very much common. Often, participants do not have the right to do research. For example, some patients fear of being treated as an experimental model. They refuse to take part because of clinical trial fraud and misconduct known to them. In this research, when this word is read as an experimental study, then participants are reluctant to participate in the study because they may feel that there is no fraud or clinical trial in which we should be given medication or misbehaved and we should face some adverse reactions clinically. Even the students avoid doing experimental studies because they also feel that expertise should be very subtle for experimental studies in which experimental studies can be carefully designed and participants do not have to face any kind of harm. Then, layered consent. Sometimes participants may need to choose among several options. For example, they may agree to be interviewed but they do not agree to be videotaped and this is very much common or they want their real names to be used or not. This is also very common. So, these options must be in separate lines and easy to select. In other words, you can give them multiple options such as videotape, audiotape or note down with paper pencils. Because some people do not allow videotape but they are comfortable with audiotape. Some people do not even give permission to take notes. Whereas some people feel that someone is taking notes and they are distressed and say that they just need to record. So, there are different situations in which you know human psyche behaves in a different way and they can easily choose what is being felt comfortable to them and accordingly we can easily overcome these challenges in the form of consent.