The transition of the National Eligibility cum Entrance Test (NEET) to computer-based testing (CBT) is facing significant hurdles due to infrastructure constraints and a mandate from India's health ministry for a single-shift exam. A reform panel had recommended moving to CBT to mitigate issues like paper leaks, but the National Testing Agency (NTA) can only manage 150,000 candidates per shift, necessitating 20 shifts for the 2.3 million candidates expected to take the exam. The health ministry's insistence on a single shift aims to prevent discrepancies in question difficulty, which could lead to unfair advantages. The Supreme Court has previously ruled in favor of single-shift exams to ensure fairness, complicating the NTA's ability to conduct NEET in multiple shifts. The proposed solution includes establishing 400–500 standardized testing centers to accommodate more candidates, but progress on this plan has stalled. Students and education advocates express frustration over the delay, emphasizing that the technology for online exams exists and could eliminate risks associated with physical paper handling.