Purpose: The implications of the work-family balance (WFB) of dual-earner couples are well known; however, the extant literature on this topic has failed to adequately explore the context of Sub-Saharan Africa (SSA), specifically Nigeria. The purpose of this paper is to examine the implications of the WFB of dual-earner couples in Nigeria. Design/methodology/approach: This paper employs a qualitative methodology in order to explore the effect of couples’ dual-earner status on their WFB in an African context by using Nigerian medical practitioners as the empirical focus. Findings: The findings reveal that the dual-earner status provides some respite from financial hardship and improves family finances, which subsequently enhances WFB. However, the dual-earner status also has negative impacts on WFB in terms of work performance, dysfunctionality, and associated societal problems. Originality/value: This paper provides insights into the WFB of dual-earner couples in the non-western context of SSA, highlighting the previously unexplored implications of dual-earner status in the context of SSA.