Global adoption is becoming more complex, with a clear trend towards prioritizing in-country placements. Numerous nations are now favoring domestic adoptions, viewing international adoption only as a final option. China has ceased allowing adoptions by non-relatives, signaling a significant shift in policy. While some countries like India and Vietnam still permit international adoption, they are enforcing more stringent regulations. Prospective adoptive parents are now encountering extended wait times and considerably more rigorous evaluation processes worldwide. These changes reflect a heightened global focus on ensuring child welfare and keeping children within their countries of origin whenever possible.