This document summarizes some of the challenges of hosting MongoDB in the cloud on platforms like Amazon AWS, Rackspace, and Terremark. It discusses issues like choosing optimal instance types and disk configurations, handling growth and expansion limitations, implementing effective disaster recovery strategies, and the benefits of using a managed service like Mongo Machine to avoid these headaches. Key points covered include the tradeoffs of different instance properties, using LVM and RAID configurations to allow for resizing while maintaining performance, and practicing recovery scenarios to prepare for failures.