From talking with Allie & a few others who looked into adoption....this is the basics I know. Adoptions in the USA through agencies are more difficult due to the CF although not impossible. Private or open adoptions in the US is much easier. Allie & Ry adopted Ahava privately. There are also certain Countries that are more lax on health issues, but there are also certain ones that are very strict. I dont know what the price difference is among them all.