The document discusses six common perceptions that prevent US companies from using nearshore services and provides keys to unlocking the opportunities of nearshore outsourcing. The perceptions are: 1) lack of awareness of available nearshore markets, 2) concerns over available skill sets, 3) political instability concerns in Latin America, 4) weak legal protections, 5) higher costs compared to India, and 6) inability to scale without wage inflation. The document advocates communicating the value of nearshore outsourcing broadly to overcome these perceptions.