We have encountered recruitment difficulties in our pilot trial too. Sometimes, it felt like we should beg, borrow or steel to bump up our numbers. Recruitment to randomised trials will probably always remain an issue for science. To recruit successfully, the recruiting clinicians should be incentivised or supported in some way. With a systematic approach and an open mind, the investigators and clinicians can seek better solutions for creating trials that would attract human participants and help advance science for the benefit of all.