"sacar con dificultad" in English

to extract- to bleed- to borrow- to borrow- to bring up- to bully off- to clean up- to clear- to come out with- to dig- to dig out- to dig out- to dislodge- to draw- to draw- to draw- to fish out- to get- to get- to get out- to get out- to get out- to get out- to get out- to get out of- to get out of- to gouge out- to introduce- to lift- to pick up- to pick up- to produce- to pull- to pull- to pull down- to pull in- to pull off- to pull out- to put out- to put out- to put out- to raise- to release- to remove- to remove- to remove- to run off- to run off- to scoop out- to score- to shoot out- to solve- to squeeze- to stick out- to take- to take off- to tap- to tap off- to tease out- to throw out- to thrust- to turn- to turn out- to withdraw- to work- to wring out- to serve- to throw in- to draw- to obtrude- to strike off- to collect- to pick up- to get out- to rub out- to shift- to take off- to take off- to take off- to take away- to take off- to bring out- to grub up- to push up- to scoop- to take out- to buy- to do- to work out- to let down- to let down- to make- to mine- to play- to put down- to win- to find- to give- to get rid of- to kick off

with

difficulty- impediment- elusiveness- facer- hardness- hiccough- hiccup- pitfall- trickiness

to hinder- to arrest- to constrict- to hamper- to impede- to impede- to hinder- to make something difficult- to obstruct- to make … difficult