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It took me about once around the block in Cyprus the first time I drove on the wrong side, and then I stopped thinking about it. Roundabouts can be a little bit challenging, but they are when driving normally, too. Shift and tune the radio with the left hand. Otherwise, pretty simple. Oh, yeah---at a Stop sigh, look right, and then left.
Done it dozens of times - not a big deal, such that it doesn't even warrant a post to dicuss.
Other issues might be - Driving a standard transmission with shifting on the left might be a bit of an issue. Narrow roads in foreign countries, particularly in Europe. Bad driving habits in foreign countries (let just say, the driving rules you are used to are not followed). Insane driving in city centers. Currupt police stops looking for "backsheesh". Lack of auto tranny cars in rental agencies if that is all you can drive. Lack of parking, again in the city centers. That is what you should be asking about.
I have never really had a problem once I left the airport. I've driven around 20000 miles around Australia, NZ and the UK. I've even driven right hand drive race cars, shifting with my left hand. No problems.
Basically when out driving around you need to think clockwise rather than counter clockwise. The McDonalds drive thru is on the opposite side of the building for instance. Remember to look right as we are used to looking left so much.
Roundabouts basically all traffic on the outside has to yield to whoever is in the roundabout. You treat the entrance of the roundabout as a yield sign.
In Aus and NZ, the turn signal is on the opposite side of the steering wheel so after coming back to the USA I am constantly hitting my windshield wipers instead of my turn signal.
One somewhat comical left turn kept me alert to the difference.
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