Physicians are usually high-powered, fast-moving people who have a hard time slowing down and listening to others--what has been described in many circles as type A behavior. Wayne and Mary Sotile's The Medical Marriage, A Couple's Survival Guide explores the stresses inherent in the medical profession and life and the negative effects they can have on relationships with family and colleagues. Some of these stresses are described and how to examine them constructively. Just like everyone else, medical couples need to renegotiate the marriage contract to keep the relationship healthy and growing. Couples need to decide what really matters and not worry about the little things. Suggestions are offered on how to improve medical marriages.