As for the text, because a Ketubah is primarily a legal document, most couples today add sections to the traditional text that relate to their love for one another and affirm their relationship and promises to one another, creating a more meaningful and loving text. This may mean adding an modern paragraph to the Hebrew text or using an English text that reflects their love, thereby create a more egalitarian text. There are new texts created for commitment ceremonies that reflect both the love and Jewishness of the couple, and wonderful texts for intermarriages that allow couples to affirm both of their identities. There is almost always a way to make the text more meaningful and intimate. It is traditional for the Ketubah to be the first decoration in the new home of a married couple.
Many couples choose to hang it in an important place, like in the living room or above their bed.
Having it in a prominent place makes it easy for them to use it as a reminder of their love and commitment to each other, especially during a fight. For couples who had been living together before the marriage, the Ketubah can be a visible reminder of their new relationship.