The word "guilty" in Amanda Knox's murder trial immediately led to the speculation over another word - extradition.
The Italian judge who announced the verdict in Florence today also ordered that Knox be sentenced to 28 years and six months for the murder of her former roommate, Meredith Kercher.
He former Italian boyfriend Raffaele Sollecito was sentenced to 25 years in prison for Kercher's death.
Sollecito, 29, was not immediately arrested, but officials said they would confiscate his passport so that he could not leave the country.
Knox, 26, who has already spent four years in an Italian prison, remained in her hometown of Seattle fearing that she would be convicted and incarcerated again.
Most people do no expect a request for extradition to be issued until the verdict is appealed to Italy's supreme court.
Here's How Knox Could Be Extradited
Extradition is long, drawn out process and there are a lot of twists and turns the case could take before Knox could possibly be extradited to Italy.
Here's what could be next for Knox in a legal drama that has already dragged on for nearly seven years.
If American officials deny Italy's request, Zagaris said they'll have to deal with "potential reciprocal and diplomatic effects."
"The U.S. often wants Italy to extradite all kinds of people, so if the U.S. refuses to even process the case, especially a case involving violence, that could have some adverse consequences for bilateral relaitons," Zagaris said.
What Happens if U.S. Officials Approve An Extradition Request
Knox will then have the opportunity to defend herself against the ruling in a U.S. court.
"Even the court could take into consideration that there have been a number of irregularities in her case and as a result of the irregularities and the time she has spent detained, it would not be in the interest of justice," Zagaris said.
There's also the issue of double jeopardy. The decision today marks the third time a flip-flop verdict has been rendered in Knox's case.
In the American legal world, being retried for the same crime after being found innocent is "double jeopardy," which is outlawed in the U.S. judicial system.
American unease with double jeopardy could give Knox a "fighting chance" to appeal any extradition in a U.S. court, Christopher L. Blakesley, a professor of international law University of Nevada Las Vegas, told ABC News.com last year.