International adoptions have been on a steady decline since their peak in 2004 when I first entered the field. When I worked for the Congressional Coalition on Adoption Institute, there were 22,989 adoptions completed from other countries to the United States. According to the United States Department of State’s FY 2017 Annual Report on Intercountry Adoption, only 4,714 children were adopted in the United States through intercountry adoption between October 2016 and September 2017. This is a 12% decline from 5,372 children adopted internationally to the U.S. the previous year and a 79% decline since the peak of intercountry adoptions in 2004 when I first entered the field. If intercountry adoptions continue to decline, these 5 things will happen.