Nowadays, one of the most important challenges for health policymakers is the phenomena of emigration of health graduates. The aim of this manuscript is to assess and analyze factors that influence retaining and maintaining health elites in Iran. Since this issue is complicated and multidimensional, and as it has happened gradually, It is simplistic to think that the problem can be resolved by providing a simple, quick and effective solution. However, it is possible to take measures to solve the problem. Accordingly, in this article, we have presented the existing challenges for faculty members and health elites staying in Iran, and subsequently, the existing strategies to maintain this group in the country.