During the first half of the last century, female physicians of international origin arrived in the U.S. in significant numbers, predominantly from Western Europe. During the second half of the last century, they came from almost every part of the world. Most of these female physicians were not trained as psychiatrists in their country of origin, nor did their medical schools offer an education in psychiatry during their medical school clinical training that was equivalent to clinical training in the U.S. In fact, only select international medical schools offer opportunities to receive postgraduate psychiatry training. However, female physicians entering psychiatry training in the U.S. present a wide spectrum, varying from being directly out of medical school to practicing other medical specialties in their country of origin prior to arriving in the U.S. For international women, the decision to pursue psychiatry is not a simple task. Training opportunities usually have to be balanced with the needs of their spouses and the needs of their families. Opportunities to train in the U.S. are available based on academic credentials such as scores on USMLE and the Clinical Skills Assessment (CSA) Exam, visa status, ability to communicate in English, and clinical experience in the U.S. For international physicians, most opportunities to train in psychiatry as a specialty exist in the U.S., especially since most training programs offer more training positions than can be filled by American medical graduates. Several female physicians pursue psychiatry to balance career and family needs and to pursue their interest in child psychiatry. Empirical data indicates that the majority of female physicians arrive in the U.S. with their spouses. Conflicting demands (some of which are derived from within their own culture, and others are external) are often made on these women to receive appropriate training, provide financial support to their families, and fulfill the cultural expectation to carry out their domestic responsibilities, and they constantly juggle between family and career, which frequently leads to tremendous stress. Male psychiatrists, on the other hand, can leave the bulk of responsibility for running the family and household to their wives. Most international women do not have professional women as role models and mentors during their professional training in their country of origin. This often leads to self-imposed as well as culturally imposed expectations to be a superwoman and do it all. While some international female psychiatrists have succeeded in cultural adaptation, managing time, and receiving professional satisfaction, others have compromised by not pursuing leadership positions and sacrificing promotions and financial opportunities.