If you sit down to this movie expecting your average romantic comedy you're going to come away, as many of the reviewers here did, befuddled and probably seriously disappointed. I'm no high-art film critic, but I had the advance warning, of sorts, of having watched the previews on the VHS edition of this movie (of all things), which let me know not to expect anything ordinary from it. Plus it's Robert Altman, right? So I went into it expecting not to take things at face value -- and that's what you have to do to enjoy this movie. The idea is that you have this man who treats women with love, respect, and chivalry. He is surrounded by demanding women all day long, and yet the focus on the individual patients whose encounters with him we witness shows the truth of something he says to his friends: every woman is unique. And then we see the different ways in which the women respond: His office manager falls in love with him. His patients demand more and more (and are very well-directed). His wife goes insane because she's loved too much (a diagnosis as obviously unrealistic as hers HAS to have been written into the story for a reason). His daughters rely on him, shock him, disappoint him. His sister-in-law takes advantage of his hospitality while drinking herself into a stupor. His girlfriend (who is kind of a man's woman) rejects his chivalrous overtures ("I'll do it! I'll get it!"), is the only self-sufficient woman in the film, and ultimately rejects his offer for an interdependent relationship. All these combine to create a world whose stresses pile up until a surreal conclusion whisks Dr. T away to a completely different world... where straight away he's put back to work, and he delivers a boy. And who can blame him for being relieved.
Overall this is a movie I'm glad I saw once; it was an interesting experience. Kudos to Richard Gere for probably the best acting I've ever seen him do.