I am an old IMG, having graduated about 15 years ago. I have passed all the USMLE exams (Steps 1, 2 CK/CS, 3). I did Pathology residency in home country and what to do same in this country. The problem is that the process is difficult. This is my 3rd time attempting the match and still no success. I am getting frustrated. Do I do something else, maybe get a Ph.D in any of the biomedical sciences or do I try again. By the way, I passed all the exams at 1st attempt (with good scores) and have 1 year US observership in Pathology at a teaching hospotal and community hospital. I tried applying to some other specialities, but the question I am always asked is why do I want to go in for that specialy, after having done Pathology. It seems that my previous training is a handicap and to be honest, Pathology is my passion. Your input will be appreciated.