Medical training outside Brazil has emerged as a significant choice for many Brazilians seeking more accessible educational alternatives. This article aims to explore the reflections and experiences of Dr. Fabiana Gnoatto, a former Brazilian student who chose to study medicine in Paraguay. Her account analyzes the challenges she faced, the coping strategies she adopted and the lessons she learned throughout her academic and professional career. Among the main challenges identified was adapting to a different curriculum and varied teaching methodologies, requiring substantial academic flexibility on the part of Brazilians who chose to study medicine in Paraguay. The language barrier, marked by the need to master Spanish in order to follow classes and interact effectively, emerges as one of the greatest difficulties faced by this group. In addition, cultural integration is complex, requiring students to adapt to local customs and practices. The distance from family and friends, combined with academic and personal pressure, tends to generate high levels of stress and anxiety, making it a significant additional challenge. To mitigate these challenges, Brazilian students need to develop a range of strategies that might not be necessary if they were pursuing the same career in their home country. Advance preparation and planning for this student migration is essential to achieving efficient academic performance. Active participation in classes, combined with the formation of study groups, would facilitate understanding, assimilation of content and the exchange of experiences between these individuals who almost always share the same difficulties in adapting. The development of local support networks emerges as a crucial element, providing emotional and practical support. Maintaining constant contact with family and friends, using modern technology, would help to reduce the feeling of isolation. Seeking psychological support, which is essential for dealing with stress, complements adaptation strategies. Participating in cultural activities in the host country, adapting to local customs and lifestyle are also key to successful integration. Dr. Fabiana Gnoatto's experiences show that, with determination, appropriate strategies and support, it is possible to overcome obstacles and achieve a successful medical career without losing quality of life during academic training. Their experiences serve as a paradigmatic guide for future students, helping them to prepare more effectively and face the challenges of international medical training. In this way, they can transform a challenging experience into an opportunity for personal and professional growth, highlighting the importance of resilience and adaptation in diverse educational and cultural contexts.