An increasing number of healthcare practices are owned, managed, and staffed by married couples. As doctors and their spouses merge their talents to work together, we see a frequent outcome: While the professional alliance is financially and strategically sound, the nonstop reality of living and working together 24 hours a day, 7 days a week is putting a strain on the personal relationship. Following are five steps to make the alliance succeedâ€”at work and at home.