There is a global paradigm shift in higher education such that, many nations consider cross-border higher education (CBHE) as an effective strategy for providing higher education opportunities to all irrespective of national boundaries, at a relatively low cost, and without irrationally compromising quality. Despite the nations being aware of the benefits of CBHE, there is still little evidence of significant collaborations among East African countries in this aspect. Consequently, this book analyses various issues and snags in CBHE in East Africa and their implications for sustainable higher education in the region. Besides the differences existing among East African countries, the book suggests that countries and higher education institutions, in particular, should, inter alia, promote regional synergistic approaches for the provision and regulation of cross-border higher education to gain a prerequisite momentum for global competition.