I have one friend who did a family practice residency because he couldn't get into general surgery. Finished, moonlighted and saved saved saved. Then went back and did general surgery without pay for the other 3 years to train and now does quite well.
I have another friend who only wanted to be an orthopedic surgeon. Did not match into orthopedics and just did an intern year, finished step III and got his license. He worked in urgent care for 3 years while applying for orthopedics before he was finally awarded an residency. He just couldn't see himeself doing anything else.
Goes back to HOW BAD TO YOU WANT IT?