Based on a multi-sited ethnographic case study on transnational care chains between Milan (Italy) and Lima, Huancayo, and Cuzco (Peru), the book explores how social inequalities are reproduced through the care practices that follow the introduction of Peruvian migrants into home-based elderly care. Anna Katharina Skornia adopts an innovative approach in combining research on transnational care and migration with a perspective on entangled inequalities. In particular, the study sheds light on the role of state regulations in contributing to these inequalities as well as their ambiguous implications from the perspectives of both caregivers and receivers.