jon,
Having now received my match results I can elaborate a little more. We had a successful couples match (Ortho/peds). When I said be smart about where you rotate/apply, I meant make sure it is not just a self-serving rotation. If you are interested in going to Chicago but your significant other hates winter, you are wasting a rotation, for example. Also, apply broadly. Make sure you apply to every program in a given city so that if your SO gets an interview in that city you will have more of a chance to not have that interview wasted. My SO and I applied all over the country, but I ended up wasting a rotation bc it was in an area with no good peds program. That place told me I was ranked to match, but I placed them at the end of my list bc my SO refused to be at that same hospital.
You also must be willing to compromise. We ended up matching at my SO's top choice. I matched at a place about the middle of my list, but because it was her favorite, I ranked it much higher than I would have. I am thrilled, however, bc I matched with her (I was willing to compromise).
I hope this advice helps. If you really want to, you can make it work. Just my two cents.