The biggest issue facing Ramsey at the moment is that he does not have a club and, following his departure from Pumas in Mexico, he cannot join a new team until January.
As a result, he is lacking match fitness and has been overlooked for recent Wales squads.
Ramsey has been training at the Football Association of Wales headquarters on the outskirts of Cardiff but, until he finds a club, it is going to be difficult for him to force his way back into the national team.
Given all he has achieved it seems disrespectful to ask, but who would take Ramsey right now?
The former Arsenal and Juventus midfielder is a playmaker of undoubted pedigree, but injuries and fitness issues have limited him to just 23 appearances since the summer of 2023.
His decision to move to Mexico raised eyebrows and was arguably an indication of how few options Ramsey had.
Returning to boyhood club Cardiff was meant to be the chance for Ramsey and his family to settle down back home after years of travelling to follow his career.
But after leaving the Bluebirds following their relegation from the Championship last season, Ramsey took everyone by surprise by announcing he was joining Pumas on a short-term contract.
Ramsey commanded huge, multi-million-pound salaries at his peak and, although he would have taken a significant pay cut at Cardiff and Pumas, he would likely be too expensive for most teams who would be interested in signing him now.
Prospective clubs will look at Ramsey and wonder if the financial outlay is worth the risk.
In turn, Ramsey will have to ponder if it is worth uprooting his family once more, so late in his career and for what would likely be another brief stint.
His family have endured a traumatic few weeks following the disappearance of their dog, Halo, in Mexico, an incident they say will “haunt” them.
Ramsey, his wife Colleen and their three children are back home in Cardiff now, and in all likelihood it would take some offer to prise him away from there again.