In April 2011, the Journal of Staff Development (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. Education for children with special needs in Bhutan now looks markedly different that it did at the inception of this project. The authors present a comparison from prior to 2008 and the present in 2015. [See EJ925935 for "Lessons from Bhutan: Embrace cultural differences to effect change" (Levine, Telsey, & McCormack, 2011).]