Every time I make a trip back to the states, I have a list of things I need to bring back with me upon my return. sometimes the things on that list might surprise you. maybe more surprising would be the things not on the list.

Things you can get easily in Guatemala:
Prescription medicine, not everything, but antibitiotics, etc, are easy to get, and cheap.
Cellular internet, cheap and fairly reliable
Tortilla’s
Fruit nectar and juice
Eyeglasses
Dental work
Non-specific batteries (AA’s AAA’s D’s etc.)
Cellphones (starting at about $15 with $12 service included free)
Amoeba’s
Horses and cows
Umbrella’s
tuk-tuk’s
Steak
Clothing (Paca’s have a lot of american clothing, though not frequently in my size)
Chickens
Fresh Fruit
Dynamite
Incarcerated
Drink coasters
Sushi rice
Amazing coffee
Cheap lodging

Things that are either hard to find, or ridiculously expensive:
Clothing (other than T-shirts, in my size)
Clean water
shampoo (available, but not cheap, and it all makes my hair fall out)
butane gas
Fresh fish (available, but not safe to eat)
Real Ketchup (the stuff here is more sugar than Tomato)
Steak sauce
Gringo’s that aren’t crazy (not a cost comparison, but very hard to find)
Sturdy silverware
Anvils
Specific batteries (for camera’s, phones etc.)
Good roads
Raspberry or maple syrup
Canned Tuna (hardly ever found for less than $2 a can for the cheap stuff in oil- and it’s in smaller cans!)
Milk in a carton (it mostly comes in bags that don’t need refrigeration)
A decent mattress

All in all, it makes life interesting. I bring back what I think I’ll need, and invariably forget something, or discover that I need something not available locally, and add it to my list for the next return trip. Last time I brought a mattress pad with me rolled up and stuffed tightly into an old military duffel bag, along with gun-magazines (the reading type, not the holding ammo type) and fire starter flint thingies, along with my normal clothing, laptop, camera’s etc.