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I would like to add to the above post. It is entirely possible to adopt from Pakistan.
True, it is a muslim country where adoption does not occur like in the western countries but guardianship is awarded and USCIS accepts the guardianship and grants visas.
However you have to be careful and choose a recognized orphanage. There are very few of those.
Also private adoption will have red flags. By private adoption, I mean adopting from a private person, hospital etc.
I am not too sure about relative adoption.
If you are Muslim, you can get guardianship of muslim child and if you are christian, you can adopt a christian child. Most of the adoptions are of infants and the child must fulfill the US definition of orphan to be considered eligible for visa.