There are risks, as well as rewards, for U.S. retirees who look to other countries when seeking new places to call home.

The website Live and Invest Overseas has narrowed the search for retirees or retirees-in-the-making to find their retirement home abroad.

For this year’s results, the website compared each destination across 15 categories: cost of living; health care; residency options; entertainment; recreation; whether English is spoken; the expat community; taxes; real estate affordability; real estate restrictions; infrastructure; environmental factors; crime and safety; access to North America; and climate.

In ascending order, here are the website's top 10 retirement destinations for 2019:

10. George Town, Malaysia

George Town is the colorful capital of the Malaysian island of Penang. It is a modern city with skyscrapers, shopping malls and a diverse population. The city is affordable, English is widely spoken and there are many entertainment and recreational options. However, crime remains a problem, there is no easy access to North America off the island, environmental issues could become health issues, and it is both difficult and expensive to buy real estate there.