the world > action or operation > carrying out > execute, perform, or carry out [verb (transitive)] > achieve or effect > with effort (3)
transitive. To bring about or produce (a result) by labour or effort; to attain or accomplish (a plan or purpose), esp. with difficulty. Now archaic…
transitive. To accomplish or effect (something) by toil.
To go through, to perform or execute, to carry out, with struggle or effort.