So, I'm really stressing about the rank list due in a week. I really loved several programs (UNC, Vandy, Mayo-Scottsdale, Stanford) and would be happy at all. However I am married with a wife who currently makes a great living in our home town in the midwest. There is a residency here; it's a smaller program that does see a good # of cases, average didactics, definitely not well known. Here's the dilemma: professionally, I think that I would be better off at some of the above institutions. In terms of my wife/future family the small midwest program is probably the way to go - wife w/great job, own house, friends/family/support network (will hopefully have kid on the way soon). Ultimately, I'll probably be fine no matter where I end up b/c I will take whatever steps necessary to become the best DOA laugh: ) I can be. I just don't want to look back in 20 years thinking I wish I would've gone to UNC, etc. I also don't want my wife to be miserable b/c I've taken her away from everything she loves. Anyone else been faced with the same decision? How did you decide on the route to take? TIA.