“I wasn’t prepared for how emotional the couples match process was. It’s been stressful; you make a lot of compromises.” Riann and Knut started dating during their first year of medical school and were recently matched in the couples match program. We talk about the process involved, why it’s important to reach out to others that can help you plan a strategy, and tips on how to keep the relationship going during a busy season of interviewing during the fourth year. Finally, we discuss the importance of having decent fellowship options as a couple.