This article explores the challenges (barriers and needs) in exit from commercial sexual exploitation and its implications on service provision across different cultures, using data gathered from 55 service providers in India and the United States. The findings provide an insight into the societal nuances of the exit phenomenon, where the similarities reflect the ubiquitous nature of exploitation and the differences reflect the distinct cultural outlook within each society. The learning would initiate development/modification of interventions that are culturally sensitive and appropriate while sharing knowledge of best practices, thereby helping to make a real impact in the lives of those affected.