In this chapter we consider the field of group counseling from an international perspective. Using the broad definition of group counseling provided by Conyne (see Chapter 1 ), we consider small group counseling and therapy as well as other experiences that use group methods and components. An extensive literature research provides a global perspective of group counseling reviewed on a continent-by-continent basis. Five group counseling applications focusing on international indigenous groups are described in some detail. Finally, several suggestions for future direct and further exploration are presented.