In recent years, the number of international students has been increasing worldwide; thus, it is important to understand the difficulties that international students experience in their acculturation and adjustment to college processes. The support provided by developed and developing countries to international students in regard to college adjustment may differ from each other. Considering that colleges accept international students from around the world, especially in developing countries, the needs of these students should be well understood first, and then necessary support should attentively be provided to meet these needs. Therefore, the first purpose of this manuscript is to draw attention to the adjustment to college challenges of international students while explaining the concept of acculturation and emphasizing the relationship between international students' adjustment to college and acculturation processes. The second objective is to review studies conducted with international students in Turkey and to discuss some contradictory findings. Considering the adjustment needs of international students in Turkey, the final objective is to present practical suggestions for university policymakers, academics, advisors, as well as college employees working with international students such as counselors from university counseling centers.