We did use a lawyer from a state different than ours (we live in KY and used a lawyer in Ohio). Though in different states, we were still only 2 hours apart distance wise, so that made traveling to meet with expecting mothers easier. But we also considered working with a lawyer in CA and an agency in TX before choosing our Ohio lawyer. Our main reason for choosing a lawyer/agency from out of our state was that our home-study agency recommended we do so. Our home-study agency expressed the opinion that fewer women chose to place their children for adoption in KY than in some other states, and that if we wanted to shorten our wait it would be best to look outside of the state. I can neither confirm or deny their expressed opinion, but we did follow their advice. Additionally, I liked Ohio’s adoption laws regarding TPR better than KY’s.