Gene therapy involves introducing normal genes into cells to replace missing or defective genes and correct genetic disorders. There are two main types of gene therapy: somatic cell therapy and germline therapy. The document discusses four main challenges of gene therapy: 1) delivering genes to the right tissues and cells and ensuring gene activation, 2) immune responses against foreign genes, 3) disrupting important genes in target cells, and 4) the commercial viability of treating rare genetic disorders given the high costs of clinical trials.