In the past decade, there has been a substantial increase in the number of adoptions of children from other countries by American families. Global socioeconomic changes coupled with a shortage of US adoptees have lead to international adoptions originating from all continents with a substantial representation from developing countries. While these adoptions provide an incredible opportunity to unite children of overwhelming need with families deeply committed to caring for them, these children's diverse geographic origins can present unique and difficult medical and psychosocial issues, and may be best addressed by specialists skilled in Geographic Medicine and complex pediatric assessment. Continue