The suppliers mainly sell to distributors and exporters, and facilities that directly serve end customers, such as local P&O centres and clinics. Distributors and exporters are primarily reached through EXPOs or e-commerce. According to expert interviews, selling prostheses via e-commerce is challenging due to a lack of quality control, with buyers often prioritising the lowest price. This puts suppliers who invest in higher quality control and inspections at a disadvantage. Additionally, the costs associated with e- commerce have risen and can sometimes exceed the expenses of attending expos abroad.