Kamailio SIP Server Overview

What is Kamailio SIP Server?
Kamailio is an Open Source SIP Server released under GPL, able to handle thousands of call setups per second. Kamailio can be used to build large platforms for VoIP and realtime communications Ð presence, WebRTC, Instant messaging and other applications. It can also easily be applied to scaling up SIP-to-PSTN gateways, PBX systems or media servers like Asterisk, FreeSWITCH or SEMS.
Kamailio SIP Server Customers
Asipto, Crocodile RCS Ltd, Edvina AB, Evariste Systems LLC, OpenXg Inc., Sipwise GmbH, VoIP Embedded

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ITCS user
PHP Dev & Telecoms Engineer at a marketing services firm with 51-200 employees
Vendor
​The server itself does load balancing however building a fail-over for it is difficult

What other advice do I have?

Create a virtual machine and try it out. Try out the different features and different modules available. Check out http://kb.asipto.com/asterisk:realtime:kamailio-4.0.x-asterisk-11.3.0-astdb and see how to use Kamailio with Asterisk.