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Navigating the skilled immigration process involves various challenges and uncertainties. One significant issue highlighted is the impact of layoffs on H1B visa holders, where individuals have a limited time to find a new job or risk legal status in the country. Another common struggle is the requirement to renew visas regularly, often causing disruptions and difficulties, such as the need for stamping when traveling internationally. Additionally, limitations on job changes and entrepreneurship create barriers for skilled immigrants looking to advance their careers.