For more than 40 years, price differences in Europe on medical products or medical equipment have created a market for parallel imports, in particular in relation to medical products, but there is also an increasing tendency towards parallel import of medical equipment. The industry is under pressure. The pressure comes from e.g. state intervention in connection with price fixing of products in the classic discount markets, increased competition among importers, increased product and distribution regulation and application of tender procedures. New markets, distribution models and efficiency improvements are scanned in pursuit of improving top and bottom lines.