Using virtual internationalization as a key concept, this article adds to the body of experience-based knowledge on how to build partnerships and develop courses within higher education. The purpose of this article is to disseminate knowledge about the collaborative process that took place when Swedish and Canadian universities created an international online course focused on work and health. The article presents the challenges and mitigating strategies during course implementation and preconditions that enabled the co-production of the course. The conclusion provides critical reflections, questions and lessons learned that arose from the instructors reflections in relation to virtual internationalization. The self-reflexive experiences were analysed through the lens of internationalization in higher education and virtual internationalization literature, and the theory of social coordination and bureaucracy to enable an understanding of how we did it our way.