PPractice Growth Co
Case Studies

Outcomes that show up on the consultation schedule.

Each case study below documents a real engagement, what the practice looked like at the start, where the consult funnel was leaking, what we changed, and what changed for the business. Analytical, not testimonial. Grouped by specialty; the market is named on every study.

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Published Case Studies

What changed, and how it changed.

41 detailed, public engagements across 13 specialties and markets. Many more are confidential at client request.

Plastic Surgery

11 studies

Multi-Location

United States

How a multi-location plastic surgery group increased qualified consultations by 510% in six months.

The four-location plastic surgery group was spending $28K/month on Google and Meta Ads with flat consultation volume. The budget wasn't the problem; the system was. We rebuilt campaigns at the procedure level, built four procedure-specific landing pages, and connected tracking to actual booked consultations. Qualified surgical consultations grew 510% in six months at the same ad budget.

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Qualified Consultations

+510%

Return on Ad Spend

7.0×

Cost per Consultation

−42%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Google Ads

Phoenix, Arizona

How a Phoenix plastic surgeon went from 1 lead a month to 8 to 10 new surgical patients a month after rebuilding his website and ad strategy.

A board-certified plastic surgeon in Phoenix was running Google Ads to a generic website that didn't show what made his work different. In July 2025 the account spent $1,497 and produced one lead. We rebuilt his website around the procedures he performs most, gave each one its own page with a proper before-and-after gallery, and rebuilt the campaigns to match. Leads became steady within a month. Once the new system proved itself, the practice doubled its budget, and by July 2026 the same account was producing about 40 qualified leads a month at $75 each, and Google Ads alone was putting 8 to 10 new surgical patients on his schedule every month.

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Qualified Leads / Month

1 → ~40

Cost Per Qualified Lead

$75

New Patients / Month

8–10

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Positioning

Austin, Texas

How an Austin plastic surgeon became a breast and body specialist and turned it into 7 to 8 new surgical patients a month.

An Austin plastic surgeon came to us after working with an agency that "specialized in healthcare" but had given him the same generic website it could have given any doctor. His real strength, breast and body surgery, was nowhere in his story. We rebuilt his website and his Google Ads around that specialty. In the first 12 months the new system produced about 315 qualified leads at $75 each on roughly $2,000 a month in ad spend, and Google Ads alone now brings in 7 to 8 new surgical patients a month.

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Qualified Leads in 12 Months

~315

Cost Per Qualified Lead

$75

Inquiries in Peak Month

156

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Body Contouring

Salt Lake City, Utah

How a Salt Lake City plastic surgeon went from 1 or 2 surgeries a month to 7 or 8 on the same ad budget by focusing on the surgery he loves.

This Salt Lake City surgeon was marketing himself as someone who does everything: faces, noses, ears, eyelids, breasts, bodies. What he actually wanted was a practice built around body contouring. We rebuilt his website, landing pages, story, and search presence around that focus. On the same monthly budget of about $5,000, the account went from 15 to 25 leads and 1 or 2 surgeries a month to 75 leads in January 2026 at about $60 each, and 7 to 8 surgeries a month. More leads, and far better ones.

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Surgeries / Month

1–2 → 7–8

Leads / Month

15–25 → 75

Monthly Budget

~$5,000

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Premium Positioning

Tampa, Florida

How a premium Tampa plastic surgery practice cut its cost per lead in half by marketing like the specialists they are.

Two highly trained Tampa plastic surgeons were charging premium prices while their marketing talked about deals. The mismatch cost them twice: fewer leads, and consultations with patients shopping on price. We rebuilt their story and landing pages around their training, experience, and results. On the same budget of about $5,000 a month, cost per lead fell from $67 to $32, monthly leads roughly doubled to about 155, and the practice reported noticeably better consultations.

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Cost Per Lead

$67 → $32

Leads / Month

~75 → ~155

Leads in 7 Months

~1,090

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Brand + Landing Page

Washington, DC area

How a DC-area female plastic surgeon cut her cost per lead in half with a brand that matched her work.

A plastic surgeon in the Washington, DC area known for refined, natural results was being marketed like any other clinic. Her brand didn't reflect her training, her aesthetic, or her premium pricing. We rebuilt her story around what makes her different, built a dedicated landing page around her, and restructured her Google Ads around it. On the same $5,000 monthly budget, cost per lead fell from $58 to $28, monthly leads more than doubled, and the practice reported higher-quality consultations.

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Cost Per Lead

$58 → $28

Leads Per Month

+110%

Cost Per Lead

−51%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

SEO + AI Search + Google Ads

Miami, Florida

How a Miami plastic surgeon's hidden expertise became 6× more search visibility and half the cost per lead.

This Miami surgeon teaches at a medical school, leads a surgical simulation program, and speaks at conferences around the world. Online, none of that showed. His Google Ads were paying $160 to $200 a lead in one of the most competitive plastic surgery markets in the country. We rebuilt his story around his real expertise and published it everywhere patients and AI tools look: his website, procedure pages, and a library of bilingual, expert-written patient guides. Over the next 12 months his Google ranking keywords grew about 6×, and his Google Ads cost per lead fell by half, to about $80, and held there: roughly 75 leads a month on the same $6,000 budget.

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Ranking Keywords

~20 → ~130

Google Ads CPL

$160–200 → ~$80

Ads Leads / Month

~75

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Lead Quality

New York City

How a New York plastic surgery practice nearly doubled its surgeries by getting fewer, better leads.

This New York City practice's previous agency ran Google Ads for one thing: as many leads as possible. It worked on paper, with around 170 leads a month at about $43 each. In the consultation room it didn't. The surgeon was spending his days with price shoppers and quote seekers, and only 20 to 30% of consults became surgeries. We rebuilt the program around motivated patients: tightly focused procedure campaigns, and landing pages that let his results do the qualifying. We accepted a higher cost per lead on purpose. Consults booked rose about 20%, the consult-to-surgery rate climbed to about 50%, and surgeries nearly doubled.

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Consult-to-Surgery Rate

20–30% → ~50%

Surgeries

~2×

Consults Booked / Month

+20%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Landing Page Rebuild

United States

How a plastic surgeon produced 510% more leads in 90 days while still under contract with another agency.

The practice's existing agency was underperforming but the surgeon couldn't get account access to audit or fix it. We built a parallel landing page and new ad campaigns that ran alongside the existing system without touching it. The new system produced 510% more leads within two weeks, giving the practice clear performance data and an obvious path forward.

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Lead Volume

+510%

Return on Investment

17:1

Inquiries in 14 Days

20

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Meta Ads + Landing Page

United States

How a plastic surgeon turned an Instagram audience into 10–15 weekly inquiries in 30 days.

The surgeon had four months of strong Instagram brand-building but no website to convert that audience into inquiries. We built a high-converting landing page in two weeks and launched Meta retargeting against the existing follower base alongside Google Ads on procedure searches. The practice now generates 10–15 weekly inquiries with positive ROI inside 30 days.

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Weekly Inquiries

10–15

Inquiries at Day 14

5

Time to Positive ROI

< 30 days

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Atlanta

Atlanta, Georgia

An Atlanta plastic surgery practice generated 514 leads in 90 days at a $49 blended CPL.

Practice Growth Co inherited a structurally reasonable Google Ads + Meta Ads account where every procedure pointed to the same generic landing page. We rebuilt the landing-page layer procedure by procedure (breast augmentation, facelift, rhinoplasty, liposuction), then turned Meta into a procedure-matched retargeting system that answers each visitor with the offer for the procedure they actually researched. Over March 1 – May 31, 2026, the practice produced 514 combined leads on roughly $25,000 in spend at a $49 blended CPL, with May alone delivering 244 leads (+85% MoM) and a Meta CPL drop from $17.46 to $7.55 (−57%) on 4× the lead volume.

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Leads · 90 Days

514

Blended CPL

$49

May MoM Leads

+85%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Med Spa

5 studies

Tattoo Removal · US Market Entry

United States

How a medical spa brand built around tattoo removal launched in three competitive US markets and generated 525 leads in five months.

An established medical spa brand, with laser tattoo removal as its core service and years of success overseas, was ready to enter the US, opening three locations in some of the most competitive aesthetics markets in the country. We built its US Google Ads program from scratch: a dedicated landing page and campaign set for each location, Performance Max alongside search, and brand protection. In the first five months the three clinics generated 525 leads, and cost per lead fell 46% from the launch month.

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Leads in 5 Months

525

New US Markets

3

Cost Per Lead

$179 → $96

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Follow-Up + Meta Ads

New Jersey

How a New Jersey med spa that had tried five agencies found its real problem: follow-up, not ads.

This New Jersey medical spa had cycled through four or five marketing agencies trying to scale, and each one promised more leads. The leads weren't the problem. Some waited more than 48 hours for a reply, and there was no CRM to track what happened to them. We moved the practice into a CRM, built automated speed-to-lead text and call sequences, and changed how its offers were presented, selling the experience rather than the product. Replies now go out within 30 minutes, often within 10. Meta Ads cost per lead dropped from $35 under the previous agency to $17, and a practice that was booking almost no one from its ads now books a couple of new patients every week.

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Lead Response Time

48+ hrs → 10–30 min

Meta Cost Per Lead

$35 → $17

Leads in 4 Months

249

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Patient Reactivation

Northern New Jersey

How a 15-year-old New Jersey med spa turned its old patient list into 4.5–5× return per campaign.

After 15 years in the same northern New Jersey community, this medical spa had seen much of its local market, and new-patient ads had become expensive. Our first test uncovered the opportunity: 15 people raised their hand for an offer, and every one of them was technically a former patient, most not seen in years. We worked with the practice to redefine who counts as a current patient, then ran returning-patient and new-patient offers side by side, each with its own language, without alienating either group. Every campaign reports its return on custom dashboards, and campaigns now return about 4.5 to 5 times their ad spend.

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Return on Ad Spend

4.5–5×

In the Same Market

15 yrs

Offer Tracks, Side by Side

2

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

11-Location Cash-Pay Group

United States

How an 11-location med spa group sustained a 3.1× return on ad spend and grew booked consultations by 62%.

The 11-location med spa group had inconsistent results across markets, with each location running different programs and no portfolio-wide standard. We rebuilt the creative with a compliance-first approach, shifted to conversion-objective campaigns, and built treatment-specific landing pages for each market. The group now sustains 3.1x ROAS across all 11 locations with consistent booked-consultation volume.

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Sustained Return on Ad Spend

3.1×

Booked Consultations

+62%

Patient Acquisition Cost

−31%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Columbus, OH

Columbus, Ohio

How a Columbus med spa produced a 50% increase in patient volume by isolating campaigns at the procedure level.

The med spa was running blended ad campaigns that hid which treatments were profitable and which were losing money. We isolated each procedure into its own campaign with dedicated landing pages, ad copy, and bid strategies. ROAS now ranges from 2x to 6x by procedure, letting the practice scale what works and stop spending on what doesn't.

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Patient Volume

+50%

New Patients / Month

20–30

Monthly ROI

$10K–$20K

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Orthopedics

4 studies

14-Provider Group

United States

How a 14-provider orthopedic group built 120+ monthly consultations and fully absorbed 3 new providers in 8 months.

The practice was adding surgeons faster than referrals could consistently fill schedules. We implemented SEO, Google Ads, landing pages, and conversion tracking tied to booked consultations. Within 8 months, the practice was consistently generating enough patient demand to support the expanded provider team.

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Monthly Qualified Consultations

120+

Show Rate

+38%

Organic Consultation Volume

+94%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Google Ads + Attribution

United States

How a spine surgery practice produced $646,289 in attributable revenue at 12:1 ROI in 12 months.

The spine surgery practice had run with a general healthcare agency for 18 months but couldn't connect ad spend to actual surgical revenue. We restructured Google Ads around surgical intent keywords, built revenue attribution from keyword to surgical case, and shifted optimization from form fills to booked consultations. The practice now ties every marketing dollar to attributed surgical revenue with clear ROI by campaign.

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Attributable Revenue

$646,289

Return on Ad Spend

12:1

Intent Structure

3 tiers

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

SEO + Brand

United States

How an orthopedic surgeon went from near-zero visibility to page 1 for knee, hip, and shoulder surgery in eight months.

The surgeon ranked organically for procedures but website visitors weren't converting into consultations because the brand didn't align with what patients actually wanted from surgery. We built a brand platform around returning to movement and quality of life, then organized SEO, procedure pages, and content around that messaging. The practice now ranks on Page 1 for knee, hip, and shoulder procedures with 3,000+ monthly visitors converting into booked consultations.

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Monthly Visitors

3,000+

Local Rankings

Page 1

Primary Acquisition Channel

Organic

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Site Recovery

United States

How an orthopedic surgeon recovered from a deleted website to #1 rankings and his best revenue year ever.

The previous agency deleted the practice's website as leverage during a contract dispute, leaving zero web presence overnight. We deployed an emergency landing page within days to keep paid ads running, then launched a full SEO-first rebuild within two weeks. The practice now generates +2,000% traffic, #1 rankings on four procedures, and a 20:1 return on marketing investment.

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Website Traffic

+2,000%

Local Rankings

#1

Return on Investment

20:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Functional Medicine

2 studies

Practice Transition

St. Louis metro (suburbs)

How a St. Louis-area functional medicine practice started growing beyond its founding doctor.

Every patient at this functional medicine practice outside St. Louis wanted to see the founder. He was preparing to step back, and the practice had hired new providers and staff to carry on his work, but demand still funneled to one person. We built a new brand, a new website, SEO, and a Meta Ads program centered on the practice's cash-pay services and its growing team, introducing new patients to the new providers without pushing anyone away from the doctor they trusted. After an offer change in August 2026, monthly leads nearly doubled and cost per lead fell from $36 to $19.

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Meta Cost Per Lead

$36 → $19

Leads / Month

~43 → 82

Leads in 5 Months

262

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

AI Search

United States

A functional medicine practice went from 27% to 82% AI search visibility in 2 weeks.

An independent functional medicine clinic in Indiana had 32 reviews, a slow and bloated website, and no realistic shot at out-ranking the regional health systems. After a content-only rebuild of the physician biography, home page, condition pages, FAQs, and blog (no new reviews, no paid advertising, no technical fixes), the practice went from appearing in roughly 27% of 22 tested AI search phrases to appearing in the top three for 82% of the same set, in two weeks.

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AI Search Visibility

82%

Phrases Tested

22

To Results

2 wks

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Mental Health & Psychiatry

3 studies

Oregon

Oregon

From compliance gap to second location for a ketamine + mental health clinic in Oregon.

A mental health, psychiatry, and ketamine clinic in Oregon came in with three compounding problems: no LegitScript certification (so ketamine ads couldn't run compliantly on Google or Meta), no local-SEO architecture (service pages named "Ketamine," not "Ketamine Treatment [City], Oregon"), and a Google Ads account stuck on a thin brand campaign and a wasteful broad match campaign. We fixed it in sequence: compliance first, website + SEO second, paid ads third. The clinic now ranks on page one for ketamine treatment searches across multiple Oregon cities, has a second location under renovation, and is running provider-hiring Meta campaigns to staff the expansion.

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Ketamine Rankings

Page 1

Locations

2

Channels Live

3

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Toronto

Toronto, Canada

A cash-pay behavioral health practice cut CPL from $150 to $35 in 30 days.

A cash-pay behavioral health provider in Toronto offered autism assessments, couples therapy, and individual therapy at premium rates. The Google Ads account had been running on broad match for months with no negative-keyword structure, sending traffic from people who would never pay her rates to a landing page that described services without speaking to anyone in particular. We rebuilt the campaigns around a high-income-professional ICP, separated her three services into distinct campaigns, and launched fast, purpose-built landing pages on Cloudflare (outside her bloated existing site) that positioned the practice for the patient she actually wanted. Same budget, 77% lower CPL, 3–6× the qualified lead volume, in 30 days.

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Cost Per Lead

$35

Leads / Week

20–30

Lower CPL

77%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Statewide Telehealth

Statewide telehealth (US)

A statewide telehealth mental health practice rebuilt its booking funnel and finally tied ad spend to booked appointments, not page views.

For most of the engagement, this statewide telehealth psychiatry and therapy practice could only count page views as conversions: the moment someone started scheduling, not a patient who actually booked. We rebuilt conversion tracking in GA4 around the real booking journey, instrumented every step of the booking flow, worked with the practice to fix the one screen where patients were being lost, and split psychiatry and therapy into separate campaigns. Blended cost per booked appointment ran about $66 across the prior quarter and about $33 in the most recent week, a small sample we treat as trajectory rather than a locked-in benchmark.

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Cost per Booked Appointment, Most Recent Week

~$33

Cost per Booked Appointment, Prior Quarter

~$66

Final-Step Booking Rate

~83%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Dental

1 study

Positioning & Paid Acquisition

Washington

How a dental practice moved from 1.5% conversion to 10%+ by getting out of the 'dentist near me' auction.

The clinic was competing against every nearby dental practice on commodity 'dentist near me' searches, with rising costs and inconsistent lead quality. We repositioned the practice as a long-term family dental home and rebuilt the Google Ads, landing pages, and messaging around that audience. Cost per lead dropped 300% and the practice now operates at a 15:1 return on ad spend.

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Conversion Rate

1.5%→10%+

Cost Per Lead

−300%

Return on Investment

15:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Urology

1 study

Brand Expansion

United States

How a urology clinic produced 400% traffic growth in six months by expanding the brand to match its actual services.

The clinic was clinically capable across urology, but its brand and website only communicated prostate care, blocking female, incontinence, and oncology patients from ever finding the practice. We rebranded, rebuilt the website with segmented patient journeys, added dedicated procedure content, expanded SEO into new keyword categories, and ran paid advertising per new patient demographic. Traffic grew 400% in six months with consistent flow across every previously invisible service line.

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Website Traffic

+400%

Consistent Patient Flow

All Lines

Female Patient Growth

Significant

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Vascular

1 study

Minimally Invasive Knee Pain

Texas

How a vascular practice generated 80+ qualified leads at $10 CPL by owning the alternative-to-surgery position.

The vascular practice offered a non-surgical alternative to knee replacement but couldn't compete with orthopedic practices on 'knee pain' search ads. We built a Meta campaign targeting patients who had already been told they need knee replacement, with creative speaking directly to patients looking for an alternative. The campaign now generates consistent qualified consultation volume from a niche audience that paid search couldn't reach efficiently.

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Qualified Leads

80+

Cost Per Lead

$10

Return on Investment

9:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

ABA Therapy

1 study

Digital Patient Acquisition

United States

How an ABA therapy clinic replaced referral dependency with a system that produced 120+ leads in 90 days.

The clinic had a strong word-of-mouth reputation but no marketing infrastructure and no visibility into where families were coming from. We implemented Google Ads, Meta Ads, CRM follow-up workflows, and HIPAA-conscious conversion tracking. Within 90 days, the practice had predictable monthly family intake and clear visibility into which channels were producing patients.

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Qualified Leads

120+

Cost Per Lead

$28

Monthly Family Intakes

25-30

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Telehealth & DTC

1 study

Google Ads

United States

How a national GLP-1 telehealth practice generated 200+ new patients at $22 CPL in 60 days.

The practice wanted to compete in the GLP-1 weight-loss space, but Google's pharmaceutical advertising restrictions block most healthcare providers from running compliant campaigns at all. We secured LegitScript certification, built intent-tiered Google Ads, a trust-optimized landing page, and ad copy written within Google's pharmaceutical guidelines. The practice became one of the few telehealth providers running compliant, profitable GLP-1 patient acquisition at scale.

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New Patients

200+

Cost Per Lead

$22

Return on Ad Spend

8:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Compounding Pharmacy

1 study

Houston, TX

Houston, Texas

How a compounding pharmacy with no ad history produced 20-30 calls per week at 11:1 ROI in 60 days.

The pharmacy had no functional website or patient acquisition system to support its compounding services. We built an SEO-ready website, local SEO targeting high-intent compound searches, and Google and Meta campaigns reaching both patients and referring providers. Within 60 days, the pharmacy was generating 20–30 weekly inquiries at an 11:1 return on ad spend.

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Inbound Calls / Week

20-30

Return on Ad Spend

11:1

Organic Traffic

2x

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Healthcare Consulting

1 study

B2B Acquisition

United States

How a healthcare consulting firm cut CPL 66% before scaling from $4K to $40K per month in ad spend.

The healthcare consulting firm needed to scale revenue from $2M to $10M ARR but cost per lead was too high to profitably scale ad spend. We refined audience targeting, ran message testing across channels, and expanded paid campaigns across Google, LinkedIn, and Bing alongside an organic SEO program that grew traffic 418%. Cost per lead dropped 66% before spend scaled, supporting the path to $10M ARR.

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Cost Per Lead

−66%

Organic Traffic

+418%

Monthly Ad Spend

$4K → $40K

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Medical Tourism

9 studies

Bogotá, Colombia

Bogotá, Colombia

How a plastic surgeon in Bogotá produced $40,000 in international revenue in two weeks at 30:1 ROI.

The surgeon wanted to attract US and Canadian patients but the existing brand didn't communicate the philosophy that differentiated the practice. We led with brand alignment, then rebuilt the website around it, and only then launched advertising across Meta and Google. The practice produced $40,000 in international revenue within the first two weeks at 30:1 ROI.

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International Revenue

$40,000

Return on Investment

30:1

Surgeries Booked

2

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Mexico

Mexico

How a facial plastic surgeon in Mexico produced $400,000 in international revenue from 5 countries at 10:1 ROI.

The surgeon wanted to attract international facelift patients but had no content depth or international visibility to capture the long research cycle these patients run before booking. We published seven SEO posts per month for eight months, optimized procedure pages for international search intent, and layered Google Ads on top. The practice generated $400,000 in international patient revenue from five countries at 10:1 ROI.

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International Revenue

$400,000

Return on Investment

10:1

Patient Countries

5

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Trust-First Brand

International

How a plastic surgeon produced 12:1 ROAS in month one with a minimalist, trust-first digital build.

The surgeon wanted to attract higher-value patients but the existing brand and website looked like every other promotional plastic surgery practice. We rebuilt the brand and website around trust signals, refined design, and a non-promotional voice that answered 'why this surgeon' before the patient ever called. Revenue grew with higher-value patients arriving already aligned with the surgeon's positioning.

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International Patients

4

Return on Ad Spend

12:1

Annual Revenue Projection

+200%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

SEO-Only Build

Guadalajara, Mexico

How a plastic surgeon ranked #1 on Google and ChatGPT for breast procedures in Guadalajara without a dollar of ad spend.

The surgeon wanted to rank organically for high-value breast procedures without ongoing paid advertising spend. We built topical authority through consistent SEO content, technical optimization, and deep procedure pages across three breast procedure categories. The practice now ranks on Page 1 for those procedures and is cited by ChatGPT and Perplexity for related healthcare queries.

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Google · 3 Procedures

#1

ChatGPT Citation

#1

Weekly Patient Inquiries

5–10

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Video-Led Acquisition

International

How an orthopedic surgeon closed the credibility gap and produced 24:1 ROI with video at the center.

The practice was booking consultations but losing too many patients between the consultation and the procedure decision. We built a video advertising program where the surgeon explained his approach in 60–90 second segments, ran across Meta and YouTube to in-market patients. Consultation-to-procedure close rate improved measurably, with patients arriving already aligned with the surgeon's philosophy.

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Return on Investment

24:1

Surgical Bookings / Month

3–5

International Patients / Month

5+

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Agency Build

International

How a 20+ doctor network reached $40K/month in managed ad spend and 75% organic growth in six months.

The multi-doctor network needed to scale acquisition across 20+ providers in multiple specialties without making each doctor a one-off project. We built individual websites, procedure-specific landing pages, per-doctor CPL benchmarks, and a documented onboarding system for new providers. The network now runs $40K+/month in ad spend with 75% organic traffic growth and standardized per-doctor performance reporting.

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Doctors Onboarded

20+

Monthly Managed Spend

$40K+

Organic Traffic Growth

+75%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Cancún

Cancún, Mexico

How a Cancún dental clinic produced 90+ monthly international leads at 10:1 ROI by building for trust before procedures.

The clinic wanted to attract US patients traveling for dental work but had no trust signals or international patient infrastructure online. We rebuilt the website with US-trained credentials, international testimonials, procedure-specific landing pages, WhatsApp contact, technical SEO, and procedure-targeted Google Ads. The practice now generates 1,500+ monthly international visitors and a steady flow of international patient inquiries at 10:1 ROI.

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Monthly Visitors

1,500+

Monthly Form Submissions

90+

Return on Investment

10:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Cancún · International Patients

Cancún, Mexico

How a Cancún urologist replaced referral dependency with 5,000% traffic growth and patients from 5+ countries.

The Cancún urologist relied on local referrals and had no online visibility for international or Spanish-speaking local patients. We built a bilingual SEO architecture with procedure-specific pages for English-speaking international audiences and Spanish-speaking locals. Organic traffic grew 5,000% with patients now arriving from five countries at 20:1 ROI.

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Website Traffic

+5,000%

Monthly Visitors

4,000+

Patient Countries

5+

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Google Ads

Mexico

How a cancer clinic in Mexico cut Google Ads CPL from $325 to $95 in 60 days.

A cancer treatment clinic in Tijuana was spending real money on Google Ads and getting leads that didn't convert. Within 60 days of rebuilding the landing page around the emotional reality of a patient evaluating international cancer treatment, and restructuring campaigns by keyword intent rather than running everything together, cost per lead dropped 71%, lead volume tripled on the same budget, and the lead-to-consultation rate exceeded 50%.

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Cost Per Lead

$95

Leads / Month

40–50

Lead-to-Consultation Rate

50%+

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

What These Demonstrate

A pattern, not luck.

The structures behind these outcomes repeat across our engagements. Different specialties, similar mechanisms.

Procedure-level campaign architecture.

Generic campaigns get replaced with procedure-specific ad groups, audiences, and landing pages, patients searching for rhinoplasty don't land on a general cosmetic page.

Tracking tied to consultations, not clicks.

GA4, GTM, CRM, and call tracking are wired into a single attribution model. We optimize off booked consultations, not vanity metrics that don't predict revenue.

Conversion infrastructure that catches inquiries.

Landing pages, intake handoff, and follow-up systems are built to convert qualified inquiries into attended consults, usually the highest-leverage layer in the funnel.

Ready to talk?

If your situation looks like one of these, let's compare notes.

The strategy call is the same regardless of where you are. We diagnose the consult funnel, share what we'd change in the first 30 days, and follow up in writing.

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30 min strategy callNo pitch deckWritten plan within 48 hrs