Puerto Rico (PR) is a territory of the United States (USA). Department of State) with a history marked by colonial violence, poverty and government corruption. As a result of these sociopolitical factors and natural disasters (for example, hurricanes and earthquakes), there has been a significant increase in the migration of residents of PR to the continental United States. Local media and professional health organizations focus their attention on the impact that this medical migration has on the health system in PR, such as the shortage of healthcare personnel and the long waiting times for critical care. According to the College of Physicians and Surgeons of PR, between 365 and 500 doctors have been migrating annually since 2014, a situation that represents a crisis in access to health services. However, there are few studies that address strategies to mitigate this medical migration to the American mainland. This article presents the recommendations provided by Puerto Rican doctors (PRPs), both migrants and non-migrants, to counteract such migration. It is based on qualitative data from an NIH-funded mixed-methods study (1R01MD014188) that explores the factors that motivate or deter migration between migrant (n = 26) and non-migrant (n = 24) PRPs. The interviews were analyzed according to the guidelines of the thematic analysis. The results highlight the following thematic lines: 1) strategies for retaining early-stage resident doctors who remain in PR; 2) recommendations addressed to the local government regarding future health policies; and 3) initiatives in the work environment of health institutions to mitigate medical migration. The findings suggest the need for multisectoral efforts to curb medical migration in PR.