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Aim: The aim of the study is to learn how children left behind in El Salvador and Nicaragua, due to parental migration, experience care across borders. Demographics: 80 participants: adolescents ( n = 21; age 13–18 years; 11 females and 10 males); emerging adults ( n = 10; age 19–30 years; whose parents had migrated when they were children); grandparents and guardians caring for children whose parents had migrated ( n = 14; 12 females and 2 males); professionals (social workers, nurses, lawyers, and teachers); and community leaders involved and/or working directly with children and youth whose parents had immigrated ( n = 35). Methodology: Using grounded theory, the study began with one sensitizing concept: parental migration. Analysis: Modified grounded theory principles centered the exploratory nature of the study. Findings: The reconfiguration of the family after parental migration did not meet the emotional needs of children, challenging notions of a “better life.” Implications: These experiences are redefining notions of the transnational family through new geographies of care.

The Cost of “A Better Life”: Children Left Behind—Beyond Ambiguous Loss