What do expats find most challenging?

"Expats in Quito find it challenging to become accustomed to the local culture as the language of instruction and communication is predominantly Spanish. Many expats also experience a learning curve when it comes to understanding local customs, as Ecuador has its own unique regional customs and traditions. Additionally, expats find it difficult to navigate Ecuador's stricter gender roles, which are more rigidly defined than they may be accustomed to in other countries. Finally, Quito's high altitude can take some getting used to for expats since it is located in the Andes Mountains," mentioned another expat when asked about moving to Quito, Ecuador, Ecuador.