Stop paying top dollar for mediocre agency results
Most shops bill senior rates and staff the work with whoever is free. You get the invoice. You do not get the outcome.

Audit this plastic surgery market
Sono Bello buys the body-contouring category nationally. LaserAway and Ideal Image sit next to surgical demand. Independent groups and PE platforms need consult-generating sites with proof, not brochureware.
Why this is not an agency page
Most shops bill senior rates and staff the work with whoever is free. You get the invoice. You do not get the outcome.
Exclusivity is written in. Your competitor is not run in the same market — unlike agencies that stack accounts on the same keywords.
Every budget. Every account. Every conversion page. Not a junior pod with a senior name on the deck. Personally.
Lead gen that started when the book on the kitchen counter was the media plan. Not a second-year employee learning on your dime.
Conversion pages proven in test, not in a mockup. AI and API build. Admin-level Google, Meta, and social certification.
No ticket queue. No ‘your account manager is out.’ Call the cell. It is on.
Booked consults, jobs, CAC, and what to do next. Not a vanity dashboard and a shrug. Data plus the sentence that makes it usable.
Agencies take a cut of your media — a conflict dressed up as a partnership. A flat fee is charged to produce demand, not to inflate the budget.
Harvard and Stanford MBA faculty. If an agency hire ever sounded unusually sharp, there is a decent chance they sat in those rooms.
Read the bioThis vertical
Procedure-level search, before/after proof, and paid social. Booked consults — not impressions — are the only number that matters.
National names to study, not copy blindly: Sono Bello, LaserAway, Ideal Image, plus regional PE platforms such as Cosmetic Physician Partners practices.
What you get
Owners, not agencies
He taught a version of this at Stanford. You can tell. The KPI report is readable. The phone gets picked up at 10pm. That combination does not exist at a holding-company shop.
James L.
Plastic surgery group · Houston
We were paying agency rates for dashboards. Sam answered on a Sunday, rebuilt the conversion pages, and consult volume actually moved. First operator I have hired who reports like a CFO.
Elena M.
Med spa owner · Scottsdale
The last shop was running our competitor on the same keywords. Sam put exclusivity in writing. Replace calls are ours now — not a shared list.
Derek H.
HVAC owner · Dallas
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