Abstract
This paper uses social exchange theory to explain the increase by which U.S. families are adopting internationally, compared to domestically. Benefits of adopting internationally appear associated with a preference for infants, confidential adoptions, race/ethnic similarity and shorter waits. Costs are related to generally higher expenses and a greater likelihood of developmental and other health risks among the children. While international adoptions can be expected to increase on this basis, trends may be slowed as a result of social context factors (for example, recent policies governing international adoptions) and greater awareness of inequity in power relations within the adoptive family triad. Implications for practice related to policy advocacy are discussed.