Using data from the 1988 Ghana Demographic and Health Survey we show that, contrary to some earlier findings, substantial differences in fertility goals exist between spouses in sub-Saharan Africa. Further, we indicate that gender inequality is associated with these differences in fertility goals. Women in dyads that give nonnumeric responses to questions on preferred family size are very likely to have low status, which may lead them to have high fertility. The need for more research at the micro level is stressed, given the social, economic, and environmental costs of neglecting to do so.