Couple decision-making is a complex process which includes a variety of factors. Little research has been done that considers reflections after a decision has been made. The ways that couples make decisions varies but there are a number of underlying issues that are considered when making a family or couple decision. This qualitative study was a feminist grounded theory study in which the decision-making practices of nine couples were explored. These nine couples were interviewed together and separately about their decision-making practices. Themes indicate that outside influences such as one's faith, family, and friends affect most aspects of decision-making. An overarching theme that emerged was that couples tend to think about what was best for the family when making decisions. Power strategies, perspectives, and personal beliefs also emerged and were explored as part of the decision-making process. Reflections on satisfaction and discontentment of how decisions were made with one's spouse were explored. Implications for practitioners were made suggesting that family background, faith, power strategies, and personal beliefs and ideals be explored. Recommendations for future research were made.