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PersonaTransitionsSaleSuccession

Sell for more.
Walk away clean.

We get your practice ready to sell, quietly, while you keep operating. The reviews, rankings, patient list, and brand all get set up to transfer cleanly, so you close with a bigger number and a clean handoff.

ExitSell · Scale · Hand off
The overviewMake it sellable

We help you sell your practice. For more.

Buyers pay for a practice they can run without you. We move the reviews, website, Google profile, domain, and patient list out of your name and into the practice, so the practice becomes the asset, not you.

Small, deliberate moves, done in the right order, that can multiply your number. And the technical traps that quietly cost surgeons six figures, we handle every one so you never see them.

Distinguished surgeon in a charcoal suit standing at the floor-to-ceiling windows of a corner office at golden hour, looking out over the city, the inflection point where strategic decisions about the next chapter get made calmly
The playbook

The small moves
that lift your price.

The number you walk away with comes down to a few small decisions made before the deal. Here are six we know cold.

Give a buyer a brand they can run.

A practice named for you scares off buyers. We build a second, location-named brand alongside yours that a buyer can step into and own, while your name keeps running the whole time.

We protect your price at closing.

A few technical mistakes can quietly cost six figures, closing the wrong Google profile, moving a domain out of order. We handle every one in the right order, so the value you built shows up in the check.

Small moves, bigger number.

A refreshed logo, a second domain, a quiet profile change. Small moves we've made many times that together lift what your practice is worth.

Solo practice to sellable business.

Your personal brand becomes a business a buyer can buy. The asset transfers, the buyer steps in, and your sale price goes up.

Your income never dips.

The brand changes underneath while patients keep booking and rankings hold. The income a buyer prices you on never takes a hit, which protects every dollar of your sale.

We've done this many times.

Retained through acquisitions, brought in by buyers after the close. We know what buyers look for, and how the price hinges on moves made months earlier.

The transition scenarios

Five paths we've walked, more than once.

Whether you're 18 months out or 7 years out, you're on one of these paths. Each has its own playbook.

Sale to a PE group or chain.

Your practice gets rolled into a larger group. You usually stay on a few years, and your payout depends on what it produces.

Buyers price your earnings and the parts that run without you, rankings, reviews, patient list, brand. Practices with a strong location brand sell for noticeably more than ones named for the surgeon. We've run the marketing through these deals and watched the price move on decisions made months earlier.

A surgeon shaking hands with a private-equity buyer across a glass boardroom table, the moment a deal closes calmly
The close: a major deal lands without drama

Sale to a younger surgeon or associate.

Hand off cleanly, a practice already ranking, already getting calls, already trusted, and they pay more for it.

Done wrong, your buyer starts over with a name change and a year of lost rankings. The prep work is what protects your final number.

A senior surgeon standing beside a younger surgeon in front of a credential wall, the moment of handoff from one generation to the next
The handoff: one generation walks the other in

Quiet rebrand and ownership transfer.

Move the practice into a new name without losing a dollar of digital equity.

  • Google profile transferred without losing rankings or reviews
  • Domain redirected and link equity preserved
  • Listings updated everywhere in lockstep
  • Done wrong, rankings collapse for a year. We do it right.
A modern practice sign reading 'ST. LOUIS PLASTIC SURGERY' with faintly ghosted older lettering behind it, the transition implied rather than announced
The new sign: transition implied, not announced

Associate buy-in.

A younger surgeon joins, gets booked and busy, then buys in, and you collect on the value you built in them.

The practice never misses a beat, and your handoff to a lighter role is smooth because there's already a second surgeon patients trust.

A diverse team of four professionals standing shoulder-to-shoulder in a sunlit upscale practice, the practice that's bigger than one person
The team: the practice is bigger than one person

Medical Director transition.

You operate less, or stop, while associates and non-surgical revenue carry the practice.

The brand can't ride on surgery you're not doing anymore. We feature the team and organize around the practice, so your authority stays intact and the practice keeps producing.

A senior surgeon at an executive desk reviewing reports while the active practice runs in soft focus behind the glass, the role evolved from operator to oversight
Oversight: still present, no longer in the OR
The transition plan

Three phases.
A bigger check at closing.

We audit what's transferable, move what isn't, and polish the brand a buyer will pay top dollar for. Your patients keep booking and your revenue keeps coming the whole way.

AuditMonths 1 to 2

Phase 1: the audit.

A full inventory of every asset and everywhere your name lives, and an honest read on where the practice stands.

  • Domain, hosting, accounts: who legally owns what
  • Reviews, content, press: tied to you or the practice?
  • Doctor-centric vs. practice-centric decision
  • A realistic timeline for your exit
Start the audit
MigrationMonths 2 to 6

Phase 2: move the assets.

Quiet, methodical migration of every asset into the practice's name. Patients don't notice, rankings hold.

Start the migration
Diligence-readyMonths 6 to 12

Phase 3: ready for the table.

Brand and operations polished, reporting clean enough to survive buyer scrutiny. A practice a buyer can actually buy, and pay top dollar for.

  • Brand evolved smoothly, patients feel no change
  • Pages and content built around the practice, not one surgeon
  • Operations and reporting documented the way buyers expect
  • You walk in prepared, not panicked
Get ready for the table
Pro noteOn changing domain names

Your domain is the last thing we touch, and often, we don't touch it at all.

Changing your main domain is one of the riskiest moves in marketing. Done wrong, you can wipe out years of Google rankings overnight and spend a year clawing them back, real money gone while you're trying to sell.

So the smart play is usually the opposite of what people expect: keep the old, trusted domain and change everything else around it. When a switch is truly the right call, we run it properly, redirects mapped, ownership handed over, monitored after launch. And we know when the answer is to leave it alone.

The sellable-asset checklist

These are practice assets
you can actually sell.

Each item here is real money at closing, and most surgeons leave several on the table. We move each one into the practice before any deal, so it shows up on the asset list, and in the price.

Domain and hosting

  • Domain registered to the practice, not you
  • Hosting under practice email and billing
  • DNS and SSL under practice control

Google properties

  • Google Business Profile on a practice email, not your gmail
  • Search Console and Analytics under the practice
  • Ownership documented on one sheet

Ad accounts

  • Google Ads under the practice's billing
  • Meta Business Manager owned by the practice
  • Ad history preserved through the change

Brand, content and website

  • Website about the practice, not just your bio
  • Before-and-after photos owned by the practice
  • Content and social handles in the practice's name

Patient data and CRM

  • Patient database in a transferable CRM
  • Email list owned by the practice
  • Review system on practice infrastructure

Reviews and reputation

  • Reviews name the practice, not just you
  • Healthgrades, RealSelf, Yelp under practice control
  • Listings consistent everywhere

Vendor contracts

  • Every vendor contract under the practice
  • All billing flows through the practice
  • Relationships documented and handoff-ready

Systems and documentation

  • Booking and consult processes documented
  • Marketing documented with clear ROI
  • Staff training and protocols formalized

Legal and financial

  • Reporting in a format buyers recognize
  • Cost per patient and channel ROI, clean
  • Every login documented and transferable

Unsexy work that directly affects your exit value. The earlier you start, the cleaner the deal and the higher the price.

The prep timeline

First call to ready-for-the-table.

The whole conversion usually lands in about 12 months, faster if you're in a hurry. Quiet from the outside, substantial underneath.

Call 1The honest diagnosticWhat's the practice worth today, and what would lift it? Plain English, no pitch. By the end you know if the prep is worth it.
Month 1Audit and risk listEvery asset inventoried, every technical trap flagged, and the highest-value moves prioritized first.
Months 2 to 6Quiet migrationAssets move into the practice, a second domain stands up, the brand evolves. Patients don't notice, and rankings hold.
Months 6 to 12Ready for the tableBrand polished, reporting clean, documentation buyers recognize. The practice presents as a real, transferable business.
Post-dealEarnout and handoffIf it closes, we keep the marketing producing through the earnout, protecting your number and supporting the new owner.
Why people call MAA for transitions

We've walked this before.
Multiple times, on both sides.

We've been through real deals.

Sales to PE, sales to associates, quiet rebrands, Medical Director transitions. Most agencies in elective medicine have never done one. We've been on both sides of many.

We know the playbook cold.

The small moves that lift your price, the traps we protect against, the right order to do it all in, so your rankings hold and your revenue keeps coming the whole way through.

We work behind the scenes.

The transition is invisible from outside. Patients keep booking, rankings hold, competitors see no opening, and your monthly revenue never dips.

In their words
I was preparing to sell and needed the practice at its strongest. They built the presence that made the valuation conversation easy.
Surgeon · planning an exit
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Make your exit your biggest win.

You built something real, now make it pay you back. We'll tell you what it's worth today, what's holding the number down, and how to turn it into a practice buyers compete for, so you exit on top with a legacy that runs without you.