The United States has long been attractive for skilled immigrants. The H-1B visa offers skilled workers from across the globe an opportunity to work and live in the United States. It also benefits American companies that can attract and retain individuals with skills that are scarce among the domestic workforce. This visa is often the first step toward becoming a lawful permanent resident (also known as a green card) and ultimately a U.S. citizen, which is the eventual goal for many skilled immigrants. As a U.S. immigration attorney practicing for over a decade, I've had the pleasure of witnessing that dream become a reality for thousands of families. In this article, I provide an overview of the H-1B visa process—past and present— because it has undergone significant changes in the last two years.