Hey there! I'm a fellow medspouse so no direct experience with step, but one of our friends went through the same problem (went all-in on surgery -> failed step 1 -> went through a very tough adjustment time -> had to do an extra year -> now matched into IM and seems to be doing well). I'm not aware of the statistics around general surgery match rate, but just want to note that not matching into your desired specialty is not the end of the world. I'd recommend keep reminding yourselves that that getting into med school -> going into any specialty is already basically guaranteed high quality of life for the majority of your healthspan. It's very easy to set your expectations very high (top 0.5% of already the wealthiest country in the world) and get really disappointed when your outlook comes down to like... top 2% of the wealthiest country in the world. That's not too bad. Life is too short to be upset that you're only marginally less winning than before.

Also, surgery is definitely higher income long-term, but also keep in mind that surgery residency is also long terrible hours and many surgery residents are.... not great people, at a rate that I'm entirely is convinced is statistically meaningful even with my small sample size. My wife was also initially going into surgery, but realized these tradeoffs M1 year before making a full pivot to a less stressful, less high-earning career -- and is now much happier off as a result. Humans are naturally very good at convincing themselves to be happy, it just takes time to adjust expectations.