This chapter examines the evolving dynamics of international student mobility (ISM) in the context of medical education, with a particular focus on Indian students pursuing undergraduate medical degrees in non-Anglophone countries such as Russia, Ukraine and China. It highlights the shift from traditional South-North migration patterns to a more diversified landscape, where Asian countries are becoming significant destinations for medical education. The chapter explores the factors influencing Indian students’ decision to study abroad, including the affordability of education and the perception of higher quality in foreign institutions. It also addresses the challenges faced by these students, such as the need to pass the foreign medical graduate examination (FMGE) to practice in India and the impact of geopolitical events like the war in Ukraine and the COVID-19 pandemic on their education and career trajectories. The study draws on various data sources, including government records and media narratives, to provide a comprehensive overview of the current trends and implications of ISM in medical education within the Global South, offering insights into the policy ramifications for both sending and receiving countries.