The purpose of the Delphi study described in this article was to determine barriers, challenges, and alternatives related to planning and implementing 4-H international visitor exchange programs. The Delphi panel comprised 21 Extension agents selected from two southeastern states on the basis of their experience and/or interest in international visitor exchange programming. The Delphi panel identified seven barriers and 16 challenges related to planning and implementing 4-H international visitor exchange programs and 25 alternatives useful for overcoming those barriers and challenges. The study led to practical recommendations for educating agents for the task, recruiting and training host families, and preparing outbound youths.