An increase of international students in various settings has been noted in a range of disciplines including counseling and other mental health professions. The author examined the literature on international counseling students related to their experiences in counseling training, particularly in supervision. From the counseling literature, five different themes were identified: (i) acculturation and cultural difference, (ii) language barriers, (iii) social isolation, (iv) cultural perceptions of the profession and transferability, and (v) multicultural discussions. In addition, a critical lens is provided to situate the literature through a holistic and ecological perspective.