Family physicians provide first contact, comprehensive, compassionate, and high-quality care within the context of patients' families and communities, often treating multigenerational members of the same family in continuity over decades. Family medicine is a unique specialty in that it encompasses the care required for the continuum of a patient's lifespan. Residents must develop skills ranging from maternity/newborn care to end-of-life, palliative, and hospice care. With this broad scope in mind, the process for the development of the newest program requirements for graduate medical education (GME) in family medicine included participation from the entirety of the family medicine community, including recipients of care (through patient focus groups), residents, and multidisciplinary physician participants. These contributors engaged with the Writing Group and ACGME staff members in scenario planning and a national specialty summit of family medicine educators and leaders. This article will highlight the journey and the outcomes of the expansive family medicine residency requirement revision process.