The United States was once a country with a large white majority population and a small black minority with impenetrable color lines. Currently 1 in 40 persons identifies himself or herself as multiracial and this number could increase to 1 in 5 by the year 2050. In the beginning of the twentieth century intermarriage between whites and other groups was very rare, but intermarriage for all racial groups has increased dramatically over the past 35 years and will probably continue to rise. The attendee will be able to learn how the race of the immigrant plays an important role in the process of acculturation to the host country and acts as an important variable in the immigrant experience. This knowledge will help the clinician provide better understanding and more efficient treatment to immigrant patients