Targeted counseling made women less likely to end up using their own originally stated ideal method - a reminder that simplifying choices doesn't automatically help women act on their preferences. Involving husbands in counseling increased the likelihood that women used their stated ideal method, but likely because that "ideal" came to reflect a blend of her preferences and her husband's rather than hers alone - a real trade-off between realizing a preference and preserving individual autonomy that we think is important for program design.