What if there are physical issues such as a debilitating illness, paralysis, a breast removal, or an enormous, visible scar? What if one of you gains or loses 50 pounds? Will your love for that person change? Will disfigurement or change be repellant to you? Or will you find your spouse just as attractive as you did before? Have you talked about emotional or mental illness? What happens if one of you has a stroke, MS, or develops early onset Alzheimer’s? What happens if there is an accident and one of you is in a coma, hooked up to machines and tubes? Have you discussed your wishes? Have you gotten your health care directive forms filled out yet? (Yes, that is a hint.)