i don't understand the idea of being put off medicine specifically because of this. obviously whatever you're doing, taking an extensive amount of time off work is never going to help your career progression, whether this be to have children or whatever. there are legal requirements for all employers regarding working arrangements for families. i think the same problems would be encountered in any "high flying" career path. and yes, probably to a certain extent, it might have to be career or family. simply because time off =/= career progression. i don't see why you couldn't have a reasonable lifestyle and a family though if you weren't hellbent on getting to the top as soon as possible and took your time with it. isn't that the case in any job though when it comes to family commitments?