What do expats find most challenging?

"Expatriates in Guangzhou may find getting used to the vibrant local culture challenging, as it often differs significantly from their own cultural backgrounds. Additionally, the language barrier between expatriates and local Chinese people, as well as the lack of understanding of cultural nuances and customs, can pose a challenge to expatriates. Furthermore, navigating the city can be difficult for expats due to the language barrier and lack of fluency in the local dialect. Lastly, due to the lack of available international healthcare services, access to quality medical care could be a problem for expats in Guangzhou," mentioned another expat when asked about moving to Guangzhou, China, China.