Find the path that fits your practice.

For Surgeons · 08 Pathways

You do medicine. We do marketing.

Services · 12 Disciplines
Want it all? One monthly fee.

Real practices. Real results.

The Work · 06 Case Studies
Six builds. Six different worlds.

Insight for elective practices.

News & Resources
Reputation
How Patients Choose a Doctor Now — and Why a Directory Often Decides First
The shortlist gets built before a patient ever reaches your website — on reviews, the map pack, AI answers, and a new layer of independent directories. Here's how those lists get made, and how to make sure you're on them.
Social
110 Plastic Surgeons With the Biggest Instagram Followings
A live research archive: the 110 plastic surgeons we found with the largest Instagram audiences — each with their profile, website, Google rating, domain authority, and site speed, captured June 2026.
SEO & Search
How Google Decides Who Wins Atlanta's Facelift Search
A full teardown of Atlanta's facelift market: who ranks, why, and exactly what the top practices do on Google, schema, and site speed. Our 2026 competitive research report.
Video
Video-First SEO: How a Surgeon on Camera Out-Ranks Every Text-Only Practice in Town
Google stopped rewarding the most pages and started rewarding the most trust. A surgeon on camera out-ranks the text-only practices in your market. Here's the full playbook.
Testimonials
The 3-Act Patient Testimonial That Books Consults, Not Just Collects Stars
A five-star review is proof; a patient's story is persuasion. The testimonials that actually book consults follow the same three acts every great story does.
Own your assets
Who Really Owns Your Website, Domain & Google Profile? For Most Practices, It Isn't Them
If you ever sell, relocate, or switch agencies, one question decides how painful it gets: who actually owns your digital front door? For most practices, it isn't them.
Funnels & CRO
Traffic Is Vanity: The Funnel That Turns Clicks Into Booked Consults
Traffic is vanity; a booked consult is revenue. Most practice sites collect visitors and quietly lose every one. Here's the funnel that turns a click into a calendar appointment.
Before / After
Before-and-After, Reinvented: Why Two Flat Photos Lose to Transformation in Motion
The before-and-after is the most persuasive asset in elective medicine, and two flat photos barely scratch it. In motion, it becomes the closest thing to watching the decision itself.
A decade of what actually works in elective-medicine marketing.
Service · Paid Ads

Dollars in.
Booked consults out.

Paid ads are the fastest way to fill your schedule, when they're run by a team that does this all day. Ours is hand-picked for exactly that. We don't report clicks; we report booked consults, the only number that matters. You do medicine. We do the math.

SERVICE · PAID ADS
AD
PaidDollars to consults
01The overview · How it works

Every dollar, tracked to a patient.

We run Google, Meta, and YouTube with a hand-picked paid media team that lives in these accounts every day. Every dollar is tracked from click to booked procedure, so you always know exactly what your spend bought, and your cost per patient keeps dropping.

Laptop showing a paid-media performance dashboard with a campaign-level table, a cost-per-acquired-patient chart trending down, and leads-by-channel breakdown
02 · What you get

Paid that scales with you,
not against you.

Our pay structure doesn't change whether you spend more on ads or less, so the recommendations are honest. We push when pushing makes sense, we pull back when it doesn't, and the only metric we lead with is cost per real patient acquired.

01

Cost per booked consult, not cost per click

Clicks are vanity. Form fills are vanity. We track the actual butt-in-the-chair number, by procedure category, with full funnel attribution. That's the only number your accountant cares about, so it's the only number we lead with.

02

Medical compliance handled correctly

Google's and Meta's medical advertising policies are strict and constantly changing. We stay current on every update, review every creative before launch, and prevent the suspensions that wipe out practices that hire generalist agencies.

03

Landing pages that convert

Paid traffic to a broken page is wasted money. We engineer the landing page to convert the specific audience your ad is targeting: clean mobile flow, the right proof points, fast load, friction stripped out.

04

Negative keyword discipline

Most accounts burn budget on searches that will never book. We build the negative keyword discipline that keeps your spend on the queries that actually produce patients and starves the ones that drain you.

05

Brand defense from competitors

When a competitor bids on your doctor's name, prospects searching for you see them first. We hold that ground for you so the patients searching for your name actually find your practice.

06

Honest scaling recommendations

Spend more when more spend pays back. Spend less when the funnel is saturated. Pause entirely when something upstream is broken. Our subscription model removes the commission conflict most agencies have, so the advice you get is genuinely on your side.

03 · How it works

Audit first.
Spend second.

We don't launch campaigns until we know what's working, what's broken upstream, and whether paid is actually the right move for your current state. Honest assessment first, real campaigns second, transparent reporting every month after.

1
Phase 1 · Audit

Look at what you're already spending

Week one is an audit of your current ad accounts, your conversion tracking, your landing pages, and your follow-up systems. Sometimes the honest answer is don't add spend yet, fix the leak first. We tell you either way.

    2
    Phase 2 · Build & launch

    Account structure, tracking, creative

    Weeks two through four we build or rebuild the account structure, wire conversion tracking from click all the way to procedure completion, develop creative that passes medical-advertising review, and launch the campaigns. Live by week four to six.

      3
      Phase 3 · Optimize & scale

      Monthly tuning, quarterly strategy

      Monthly reporting on cost per acquired patient, channel return on spend, conversion rates by funnel stage. Quarterly campaign review and budget recommendation. We tell you when to scale up, when to reallocate, and when to pause.

        Now booking 2026 · Available today

        Audit your current spend.

        Already spending on Google or Meta? We'll review your accounts and show you what's working, what's burning budget, and how much lower your cost per patient could be. Most practices learn something they didn't know about their own spend.