Discussions about the impact of culture on psychological assessment have been evolving for some time. However, clinical psychologists are beginning to address how culture and other environmental factors influence the outcomes of the psychological process. Clinical psychologists ought to consider ethical and diversity factors in the process of evaluation and testing. Considerations of these factors start before, while, and after testing. In the middle east one of the greatest challenges is using measures that were typically normed to western culture. This paper presents the main challenges psychologist in the middle east face before, while, and after testing regarding the ethical practice in testing.  In addition, a discussion of some of the procedures a clinical psychologist need to follow to consider ethical and diversity issues in the evaluation process. Conclusions, recommendations and areas that should be considered for future research will be discussed.