Hi Spencer,
I had no problems ordering from either Amazon ( Italy, Germany or UK ) - pretty much the same process as in USA and secure (not sure that I would easily order from other sources though unless via say Paypal). The only difference is that some of your payment options may not be...
After reading through this thread, I went ahead and ordered the Italian releases of "A Fistful of Dollars" and "The Good, The Bad And The Ugly". They arrived yesterday.
Opening the delivery package, I became real worried about the GBU disc as it's Blu ray case was significantly damaged/broken...