International service-learning provides valuable cultural and clinical experiences to healthcare students. Little is published on best practices regarding the design of international service-learning for maximum learning on this group. This study utilized a mixed methods approach to gather occupational therapy students' perceptions of the pre-trip preparation and experience logistics, supports, and activities during an international service-learning trip to Morocco to guide future experiences for optimal student learning. The quantitative survey indicated participants desired more clinical activities on the experience while keeping the number of cultural activities the same. The qualitative interviews revealed a desire for increased traditional clinical activities that span population, lifespan, and setting. Careful attention to the itinerary to provide balanced time in activities and allow for rest was noted. Participants also indicated qualities of activities that would enhance their learning along with the importance of structured predeparture meetings. Careful attention to the itinerary to provide a diversity of clinical and cultural activities with appropriate faculty support enhances student learning on international service-learning activities. Participants value quality over quantity, and proper experience design plays a large role in student learning during these experiences abroad.