This section is where the “rubber meets the road” and explains how to set up an international experience. There are two chapters, one for medical students and one for residents, with information specific to either type of trainee. Our goal was to make this useful for years to come, so we refrain from listing programs and instead provide a framework of how to approach and maximize an international rotation. Note that each institution will have its own particular set of regulations and expectations, but there should be several commonalities. Some of this information has been mentioned earlier in the book, however it is convenient to have all of this information in the same place.