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Competency in algebra requires developing conceptual knowledge, procedural knowledge, and procedural flexibility. We compared students’ algebraic knowledge, including procedural flexibility, among convenience samples of secondary-school students in Japan and the United States, including U.S. students who had participated in a special program designed to more productively support algebra learning, including procedural flexibility. The Japanese students had substantially higher accuracy on the algebra assessment than either group of U.S. students. Higher accuracy by the U.S. students on 2 conceptual knowledge items revealed some potential strengths among the U.S. students. On the procedural flexibility items, the Japanese students had consistently higher accuracy and were more attuned to how efficient procedures were. Implications for algebra teaching and learning are discussed.