The purpose of this review article is to present the current state of military and veteran couple's health by addressing biological, psychological, and relational risks and resiliencies. Articles were selected using key words such as ''military couple, dyad, or relationship'' and were searched in the following databases: PsychInfo, Military and Government Collection, and Medline. Literature trends reveal that the role of the military spouse is no longer secondary, but is crucial to the health of the military and veteran couple. The spouse is recommended to be a part of the biopsychosocial assessment that service members receive and also be assessed themselves for stress derived symptoms such as hypertension, post traumatic stress, and depression. Assessments for health should occur sooner after deployment and at more frequent intervals given the dynamic nature of stress on health over time. The health of service members and veterans is couched within their personal and familial relationships, thus medical family therapists are the most well prepared to attend to the dynamics between health, stress, and relational well-being across the lifespan of military and veteran couples. Keywords Medical family therapy Á Integrated care Á Military couples Á Biopsychosocial Within the United States today, there are 1.4 million active members of the military and more than half of these personnel are married (55.8 %) (Department of Defense 2010). Unfortunately, military personnel who have returned home from recent wars have