Everyone knows that monorepos are meant to ease development and microservices are meant to decouple code - but we lived through the pains within both these seemingly unrelated ideas. When we broke the monolith apart, we paid by complicating development. When we simplified development, we paid with low performance and costly deployments. At one point, we had 10 times as many repositories as we did microservices! I would like to share our own unique story about where we started, what we went through and where we are now in regards to our development process and system architecture, mixing in the cultural aspect, business goals and the team make up and how it all adds up to our AI based SaaS for healthcare.