Internationalization is a growing priority for professions, universities and governments around the globe. This has led to increased numbers of health and social care students participating in international practice education experiences. This study identifies enablers and challenges to participation in international practicum education through a case study. The case involves one occupational therapy programme and its international partners, and investigates the perspectives of students, university personnel and preceptor stakeholders. Challenges included: lack of financial support, limited placement availability, and procedural complexity. Enablers included: external financial support, champions for the concept, international connections, and access to the appropriate communication technology. Practical insights that may be relevant for enabling student participation in international education experiences are highlighted.