Working in dental IT, I've seen VMware licensing changes quickly eat into admin hourssometimes adding 6-8 hours a week just to keep up with compliance documentation and unexpected system adjustments. One example was when Broadcom's deadline overlap forced us to retrain staff on licensing dashboards while still handling daily security monitoring, which created both time loss and stress on resources. Honestly, hidden costs aren't just feesit's pulling senior engineers away from project work, plus the scramble to meet HIPAA requirements while navigating shifting VMware timelines.