Prospective Indian students must bear in mind that Russian medical institutions are spread across the country, with a cold and harsh climate. There are direct flights only between New Delhi-Moscow and students studying in different regions would have to take further flights/modes of transport to reach. Cost of living, particularly fresh fruits/vegetables, is generally high and Indian food is not available locally in most places. Students must also check in advance hostel facilities available in the university that they are seeking admission to. Hostels at many universities are inadequate and do not offer any boarding facility. Students are generally expected to cook their own food.