An IMG New York Physician specializing in Internal Medicine, Pulmonary Disease, and Critical Care approached us to help them attain a J-1 Waiver so that they would not be subject to the two-year home residency applied to many J-1 holders. We worked with them to apply for the Texas Conrad 30 program. The Texas Conrad 30 program issued a recommendation for their waiver, and the J-1 Waiver was approved with a successful H-1B obtained to allow the physician to continue offering their medical experience and expertise to an underserved area. As with the majority of cases we handle, the process from Conrad 30 to J-1 Waiver to H-1B was smooth and allowed the physician to begin work the following Autumn. This application was processed quicker than usual at under 2 months from initial Conrad 30 recommendation submission to J-1 Waiver approval.