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For specialty medicine

Growth systems
for the specialty practices patients research before choosing.

Dermatology. Plastic surgery. Orthopedics. GI. Ophthalmology. Cardiology. Urology. OB/GYN. ENT. Endocrinology. The specialty practices we work with don’t need a generalist agency, they need a partner who understands that a Mohs page and a rhinoplasty page are nothing alike, and that both are nothing like a condition page for a chronic disease.

The three operating realities

What we actually understand.

Referral + self-referral both matter.

Specialty medicine has historically been referral-driven. In 2026 self-referral volume, patients searching and choosing directly, is a growing share of the book for every specialty we serve. Neither channel can be left alone.

Procedure economics vary wildly.

A Mohs surgery and a cosmetic rhinoplasty share a specialty but not an acquisition curve. We build the math per procedure line, not per practice, because the answer to ‘should we run paid’ is almost always different for each.

Trust is non-negotiable.

Patients choose specialty providers with more care than they choose a GP. Credentials, honest reviews, and a site that reads as serious medicine (not an aesthetic spa with a physician attached) are the decisive signals.

Specialty by specialty

Same methodology.
different levers.

Dermatology

Medical + cosmetic + surgical in one practice. The mix drives everything. Mohs volume leans referral; aesthetic cash-pay leans paid; general derm is local-SEO-heavy.

Plastic Surgery

High-ticket, cash-pay dominant, long consideration cycle. Site quality and before/afters are the conversion factor. Reviews crossed the 100-review threshold matter structurally.

Orthopedics & Spine

Referral-driven for complex cases; search-driven for sports medicine, joint replacement, and cash-pay procedures. Condition-page depth is the growth lever.

GI / Ophthalmology / ENT

High volume, strong insurance mix, procedural lines that benefit from paid acquisition. Local dominance in the Map-pack is the foundation.

Cardiology / Urology / Endo

Often hospital-adjacent but increasingly independent. Organic trust content and schema-complete condition pages decide who ranks when patients self-refer.

OB/GYN

Trust-led. Reviews, patient stories, and condition content are the three levers. Paid works narrowly, primarily for specific service lines (IVF, pelvic health, aesthetics).

Questions

Answers specific to
specialty medicine.

Do you work with referral-only specialty practices?
Yes. The approach shifts from patient-first to referring-physician-first. We build liaison pages, concierge reply workflows, and physician-to-physician content that lives on its own site surface but compounds with the patient-facing brand.
Which specialties have you worked with?
Dermatology, plastic surgery, orthopedics, GI, ophthalmology, cardiology, urology, OB/GYN, ENT, endocrinology, vascular surgery, pain management, and interventional radiology.
Can you handle multi-physician specialty groups?
Up to fifteen physicians per group fits the product tiers. Groups larger than that usually sit in Architect because the internal coordination surface grows faster than the marketing surface.
How does paid media work for specialty practices?
Procedure-specific campaigns, not brand-generic. Self-pay procedures (aesthetic dermatology, cosmetic plastic surgery, elective cardiology) convert profitably at scale. Insurance-heavy specialties require caution because the unit economics are tighter.
Do you do reputation management?
Review velocity and response management are in every tier. We don't do review removal work; that's BrightLocal's legal domain and we route it there when warranted.
Can you work with a hospital-affiliated specialty practice?
When the practice has autonomous marketing authority. When marketing lives in the hospital system and has to clear enterprise review, the process fit is wrong and we say so.
Markets we serve

Specialty medicine
by market.

Each city has its own competitive field, submarket geography, and maturity curve. The pages below carry the honest version of the specialty playbook for that market.

Tampa Bay
FL · 3.1M
Recommended · Growth
Read the Tampa Bay page →
Dallas
TX · 7.9M
Recommended · Growth
Read the Dallas page →
Houston
TX · 7.3M
Recommended · Dominance
Read the Houston page →
Austin
TX · 2.4M
Recommended · Foundation
Read the Austin page →
Atlanta
GA · 6.2M
Recommended · Growth
Read the Atlanta page →
Charlotte
NC · 2.8M
Recommended · Foundation
Read the Charlotte page →
Nashville
TN · 2.0M
Recommended · Growth
Read the Nashville page →
Scottsdale
AZ · 5.0M
Recommended · Dominance
Read the Scottsdale page →
Miami
FL · 6.2M
Recommended · Growth
Read the Miami page →
Chicago
IL · 9.4M
Recommended · Growth
Read the Chicago page →
Denver
CO · 2.9M
Recommended · Growth
Read the Denver page →
Los Angeles
CA · 12.8M
Recommended · Dominance
Read the Los Angeles page →
New York
NY · 19.5M
Recommended · Dominance
Read the New York page →
Washington, DC
DC · 6.3M
Recommended · Growth
Read the Washington, DC page →
Seattle
WA · 4.0M
Recommended · Growth
Read the Seattle page →
San Diego
CA · 3.3M
Recommended · Growth
Read the San Diego page →
San Francisco
CA · 4.7M
Recommended · Dominance
Read the San Francisco page →
Boston
MA · 4.9M
Recommended · Growth
Read the Boston page →
Phoenix
AZ · 5.0M
Recommended · Growth
Read the Phoenix page →
Philadelphia
PA · 6.2M
Recommended · Growth
Read the Philadelphia page →
San Antonio
TX · 2.6M
Recommended · Growth
Read the San Antonio page →
Jacksonville
FL · 1.6M
Recommended · Growth
Read the Jacksonville page →
Fort Worth
TX · 7.9M
Recommended · Growth
Read the Fort Worth page →
San Jose
CA · 2.0M
Recommended · Dominance
Read the San Jose page →
Columbus
OH · 2.2M
Recommended · Growth
Read the Columbus page →
Indianapolis
IN · 2.1M
Recommended · Growth
Read the Indianapolis page →
Oklahoma City
OK · 1.5M
Recommended · Foundation
Read the Oklahoma City page →
El Paso
TX · 870K
Recommended · Foundation
Read the El Paso page →
Las Vegas
NV · 2.3M
Recommended · Growth
Read the Las Vegas page →
Detroit
MI · 4.3M
Recommended · Growth
Read the Detroit page →
Louisville
KY · 1.4M
Recommended · Foundation
Read the Louisville page →
Portland
OR · 2.5M
Recommended · Growth
Read the Portland page →
Memphis
TN · 1.3M
Recommended · Foundation
Read the Memphis page →
Baltimore
MD · 2.8M
Recommended · Growth
Read the Baltimore page →
Milwaukee
WI · 1.6M
Recommended · Foundation
Read the Milwaukee page →
Albuquerque
NM · 920K
Recommended · Foundation
Read the Albuquerque page →
Tucson
AZ · 1.0M
Recommended · Foundation
Read the Tucson page →
Fresno
CA · 1.1M
Recommended · Foundation
Read the Fresno page →
Sacramento
CA · 2.4M
Recommended · Growth
Read the Sacramento page →
Mesa
AZ · 5.0M
Recommended · Foundation
Read the Mesa page →
Kansas City
MO · 2.2M
Recommended · Growth
Read the Kansas City page →
Raleigh
NC · 2.1M
Recommended · Growth
Read the Raleigh page →
Omaha
NE · 970K
Recommended · Foundation
Read the Omaha page →
Virginia Beach
VA · 1.8M
Recommended · Foundation
Read the Virginia Beach page →
Long Beach
CA · 12.8M
Recommended · Foundation
Read the Long Beach page →
Oakland
CA · 4.7M
Recommended · Growth
Read the Oakland page →
Minneapolis
MN · 3.7M
Recommended · Growth
Read the Minneapolis page →
Bakersfield
CA · 920K
Recommended · Foundation
Read the Bakersfield page →
Tulsa
OK · 1.0M
Recommended · Foundation
Read the Tulsa page →
Arlington
TX · 7.9M
Recommended · Foundation
Read the Arlington page →
Cleveland
OH · 2.1M
Recommended · Growth
Read the Cleveland page →
Start here

Run the audit.
then decide.

Three minutes. A real read on the specialty-specific levers (self-referral, referral network health, procedure-line economics) and the three things worth doing next.