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This article will explore the role that orthopaedic PAs play outside of the United States. The PA professional model is growing in other countries, spurred by the success of the profession in the U.S. The handful of countries outside of the U.S. that have established PA programs will be discussed, including their educational requirements and training. PAs from Germany and the Netherlands, as well as a PA from the U.S. who spent time in Scotland, describe their firsthand experiences of practicing abroad.