This paper describes the implementation of an inpatient treatment program for Vietnam combat veterans exhibiting symptoms related to Post-Traumatic Stress Disorder, at the North Chicago Veterans Administration Medical Center. Issues related to organizational and staff problems encountered during the program are outlined, and unique problems associated with Vietnam combat veterans are discussed. Impediments to the program in several areas are described, including: (1) people problems (attitudes, opinions and biases); (2) diagnostic certainty; (3) perceptions of caregivers; (4) patient behavior; (5) policy decisions involving the Veterans Administration; (6) resources; and (7) staff assignments. The importance of dealing with the smallest details of a program is stressed, since these problems can quickly become a big issue and can form a convenient focus away from treatment. (JAC)