The introduction of new rigid gas permeable (RGP) contact lens materials provides the practitioner with a number of alternatives for patient management. But whatever the lens materials used, problems related to the lenses, care and maintenance solutions, and patients may arise. This paper examines concerns such as parameter instability, durability of lenses, compatibility of materials and solutions, patient education and compliance, 3 and 9 o'clock staining, corneal distortion, and lid changes. Suggestions are made on ways to avoid or minimize problems related to RGP lens wear.