When we think about science, we often imagine a universal language of knowledge in the form of a shared code of numbers, graphs, and precise words that transcend borders. But what happens when the language of science is not the language of the scientist? This is the challenge explored in a recent study by a group of publication professionals from the pharmaceutical and medical communications industries across the Asia Pacific region. The study looked at how researchers in this region navigate the world of English-language scientific publishing. Their findings remind us that words matter, and the language we use can either invite voices into global conversations and knowledge exchange, or keep them out.