I just want to add another thought on this issue - practicing in a small town, I tried to go socially by my husband's (and children's) last name, however too many people knew me as Dr. "X" so it became confusing when I would be introduced as Mrs. "Y". I finally just gave up trying to do it both ways and now go by Dr. "X" pretty much everywhere I go. My kids just accept this as normal - although we do talk about it from time to time - they aren't so much bothered by it as curious. I also feel like I should be allowed to own my accomplishments by being called Dr. "X". After all, my husband is a doc too and he doesn't have to choose between being Mr. with the kids, and Dr. at work. I definitely struggled with it - couldn't hyphenate - as it would be a 19 letter last name - couldn't change to his name fully because we have the same first and middle initials and worked at the same community hospital - so no way to tell which Dr. "Y" you would be trying to page - But, I also feel like our generation has a done a complete 180 on this topic. Does anyone else think that? Would any guy ever give it this much thought?