Expanding internationally presents challenges related to signaling, media quality, and numbering. Signaling challenges include establishing calls and interoperating with carriers globally. Media quality challenges include delay, jitter, and audio artifacts due to long distances. Numbering challenges involve different numbering conventions in different countries. To address these, the document recommends deploying media capabilities everywhere through border gateway proxies and relays to minimize latency, enable features like recording and DTMF mid-call, and transcode between incompatible carriers. Carriers generally do not support reinvites or peer-to-peer media.