What do expats find most challenging?

"Many expats in Guilin have difficulty adjusting to the language barrier and limited English-speaking environment. Additionally, the traditional customs and attitudes of the locals can be difficult to understand and differentiate from the expat culture. Furthermore, the hectic atmosphere of the city can be overwhelming to those coming from more relaxed backgrounds. Furthermore, Guilin locals place a strong emphasis on family values, which can also be challenging for expats from different backgrounds. Finally, the Chinese health care system is often a source of confusion for expatriates," mentioned another expat when asked about moving to Guilin, China, China.