Struggle with appearance (4)
I believe the answer is:
view
'appearance' is the definition.
(view is a kind of appearance)
'struggle with' is the wordplay.
'struggle' becomes 'vie' (I've seen this before).
'with' becomes 'w' (abbreviation).
'vie'+'w'='VIEW'
(Other definitions for view that I've seen before include "Survey - opinion" , "Consider" , "Range or field of vision" , "See" , "Perspective" .)