I have been thinking about residency a lot lately (as an MD/PhD student this is all you do after your old classmates match) and am curious if anyone else has faced the dilema of having a good degree of geographical baggage with regards to matching that may affect my decision making. In my specific case, my fiancee and I are trying to move to CA, and I am 99% sure about surgery as a residency. However, I am not entirely sure about whether to do general or one of the sub-specialties like neurosurg or ENT. I have not done M3 yet so I don't know if I'll fall in love with one of these specialties or not. Certainly I understand that the surgical specialties are more competeive, and I've heard that CA is tough to begin with. Basically what I'm saying is that I will be very competitive for general but less so for neurosurg or ENT. I guess the point is this: how much of an influence has geography played into your decision for a career?