In April 2011, JSD published “Lessons from Bhutan: Embrace cultural differences to effect change” (Levine, Telsey, & McCormack, 2011), which described the experiences of several U.S. educators who learned their own transformative lessons while leading professional learning in special education abroad. In this follow-up article, the authors reflect on what they learned and discuss their challenges and successes after six years of working with teachers and principals in Bhutan. It has been six years since we began our work promoting sustainable special education programs and practices in Bhutan, a small Buddhist country in the Himalayan Mountains. Working with the Special Education Advisory Committee, under the auspices of a nonprofit organization, the Bhutan Foundation, we have volunteered our time working as professional learning facilitators to foster