American Adoptions is currently one of the largest domestic adoption agencies of its kind in the United States, completing more than 300 domestic adoptions per year.

Of the 282,921 foreign-born children adopted into US families between 1999 and 2022, 82,658 (or 29.2%) came from China. That's more than the next two countries combined — Russia with 46,113 and Guatemala with 29,807.

Domestic infant adoption takes about a year on average, but this isn't representative of all adoptions; some families might take a much longer time to complete an adoption, while others may go through the process very quickly. Below, you can find a breakdown of the steps of adoption process and how long they take.

China — Described as one of the world's most stable and efficient adoption programs. Often requires visits, but worth it—especially if you'd like a girl or special needs child. Places children from 5 months to 7 years old (even older for special needs children).