Statistics suggest a steady increase in the number of international students attending universities in the U.S. However, limited information is available to guide professionals in the delivery of effective mental health services to this diverse group. University counseling centers have repeatedly reported little to no success with international students accessing their services. This paper describes a successful effort to deliver support group counseling services to international students in a large public university. Important dimensions of group structure, elements crucial to successful group counseling for international students are addressed, and recommendations for future efforts are also included.