Couch is a small, unincorporated community in Oregon County, Missouri. It is located six miles south of Alton on Missouri Supplemental Route A.
A post office called Couch has been in operation since 1887. The community has the name of George W. Couch, a first settler.
Coordinates: 36°36′22″N 91°22′59″W / 36.60611°N 91.38306°W