The authors investigated patterns of support exchanges between Korean adult children and their parents and parents-in-law, gender differences in these patterns, and implications of children’s marital quality for exchange patterns. Data were from a nationally representative sample of married adults (N = 920, age 30–59 years) with at least 1 living parent and 1 living parent-in-law. Latent class analysis was applied to 12 indicators of exchanges (financial, instrumental, emotional support given to and received from parents and parents-in-law). Five classes of exchanges were identified, 3 showing balanced patterns of exchanges with parents and parents-in-law across three types of support and 2 classes with unbalanced patterns (e.g., giving instrumental and financial, but not emotional support). The findings revealed variability in intergenerational exchange patterns, with a mix of patrilineal traditional and balanced patterns. Significant associations of exchange patterns with adult children’s marital quality suggest the importance of balanced exchanges with parents for marriage.