In this paper, we point out some practical obstacles arising in realization of compressional optical coherence elastography (OCE) that have not attracted su±cient attention previously. Speci¯-cally, we discuss (i) complications in quanti¯cation of the Young modulus of tissues related to partial adhesion between the OCE probe and soft intervening reference layer sensor, (ii) distorting in°uence of tissue surface curvature/corrugation on the subsurface strain distribution mapping, (iii) ways of signal-to-noise ratio (SNR) enhancement in OCE strain mapping when periodic averaging is not realized, and (iv) potentially signi¯cant in°uence of tissue elastic nonlinearity on quanti¯cation of its sti®ness. Potential practical approaches to mitigate the e®ects of these complications are also described.