In this commentary I discuss three international school consultation experiences, highlighting aspects that serve as lessons for professional development and the implementation of effective and helpful strategies that meet the needs of children and youth in school systems. Relationships developed and maintained between the consulting teams and the consultees were oriented toward three intervention goals: psychoeducational services, well-being in adolescents, and instructional procedures. In general, the projects described in the three articles were successful and support the utility of international systems-level consultation as a means of helping improve the quality of outcomes in the school contexts in which they worked. I end my commentary by providing some general observations and questions to be considered when engaging in international school consultation.