This chapter is the result of a collaboration between four fluency specialists who compare their cultural and professional experiences with regards to stuttering and stuttering therapy. The similarities and differences between the four countries are addressed based on literature as well as standard clinical experience. The authors hope that this chapter will be instrumental in providing support to clinicians as they tackle the cultural differences that impact the stuttering experience of their clients and families. The chapter aims to further readers' understanding of how the treatment perspective and therapy efficacy is influenced by the cultural perceptions and the severity level of the stigma related to stuttering.