My husband and I are both presently in med school. I don't think med school life is really as bad as it's made out to be, at least not in the first two years (all I can comment on so far). It's definitely possible to maintain a healthy relationship, though it's easier if you're in the same place than long distance, but it can be done either way. I know a couple where one is at med school in NYC and the other in DC and they find time to visit each other practically every weekend, well, definitely twice a month at least, and they're both med students so both busy. Your GF will have time for your relationship as long as she makes it a priority. Regardless of what people may say, med school is not really completely all-consuming and doesn't suck up every second of your spare time unless you choose to let it. If you're a laid-back person who had a life before med school chances are you'll still have a life in med school too. There are definitely periods that are stressful and it is an added pressure but I don't think the stress has to really affect the relationship a lot, if the relationship is strong to begin with. I don't think whether your GF is going to earn a lot or have a lot of status as a physician should come into it...what should come into it is do you love each other and want to be with each other. If you really love each other, don't let med school or anything else get in the way of that. I don't know what to tell you re: where you should take a job, I would probably pick Davis/Sacramento if it were me but you have to weigh the pros and cons according to what's important to you. Also depends on how far apart Davis and Seattle are, and how frequently you'd be able to see each other. Good luck! I know from experience that it's possible to have a happy relationship in med school. I think the reason you mostly see negative things on here is because people tend to come to this forum when they're having problems in their relationship, not when everything is going well. Good luck.