More Surgical Consultations from Patients Who Are Ready to Decide
Your patients research for weeks before they call. We make sure yours is the practice they find, trust, and book.
No commitment. 30 minutes. We'll tell you honestly if we can help.
Built by the team behind Pearmill — the firm that has managed $500M+ in ad spend for the fastest-growing companies in the country.
Plastic Surgery Marketing Is Not Like Selling Any Other Service
Your patients don't make impulse decisions. They research for months, read every review, study before/afters obsessively, and then book a consultation with exactly one practice. The marketing that wins that patient is different from anything a generalist agency has ever built.
High-Consideration Patients Have a Long Research Cycle
Your rhinoplasty patient started researching 6 months ago. If you're not showing up at every stage of that journey — search, reviews, before/afters, your surgeon's credentials — you're invisible when the decision finally gets made.
One Wrong Ad Can Damage Your Brand
Plastic surgery is deeply personal. Generic, pushy, or poorly targeted ads don't just underperform — they actively undermine the trust your practice depends on. Most agencies don't understand this.
Conversion Tracking Is Almost Never Set Up Right
Practices pay for clicks. They don't know how many turned into consultations. They don't know which procedure pages work and which don't. They're flying blind on a $15K monthly budget.
Your Competitors Are Buying Credibility
Large cosmetic surgery groups and national brand surgeons have unlimited budgets for SEO, paid search, and social proof. Independent surgeons need a smarter strategy — not a bigger budget.
If any of this sounds familiar, you're not alone — and you're not the problem. Most marketing agencies aren't built for practices like yours. We built one that is.
One team for growth. Not four vendors and a project manager.
A practice that wants to grow doesn't need an ads agency, a separate creative shop, a web developer on retainer, and a reporting tool that none of them read. It needs one team that runs the media, makes the creative, fixes the site, and reads the numbers — and moves the lever before the next review meeting. We think the quality floor is what compounds, not the headcount. So we run as one senior team that owns the whole funnel, and we publish what it costs.
Three services. One goal: growth that compounds.
Full-stack performance marketing for practices that want to grow — not just spend.
Performance Media
Every paid channel, one team
Search, social, remarketing, email, SMS — we manage the full media mix to drive consultations at the lowest cost.
Growth Ops
Make every dollar and every visit work harder
SEO, analytics, CRO, automation, and proprietary tooling — the systems that turn ad spend into compounding growth.
Web Design & Development
A site you own that actually converts
Fast, modern websites built to book consultations. You own the code, the domain, and the hosting. No lock-in.
Want to see what this looks like for your practice?
Book a Free CallBuilt for Practices Like Yours. By People Who've Done This Before.
We spent years delivering marketing to small medical practices and kept hitting the same wall: the best tools and talent were locked behind $50K/month minimums. So we built Pedal — a focused team with big-agency experience, purpose-built for practices that are serious about growth but not yet at enterprise scale.
Pearmill Pedigree
Same methodology that manages $500M+ in ad spend — without the enterprise price tag.
AI-Raised Quality Floor
We use AI to fit more work into every week, not fewer people onto your account. That's how big-agency rigor fits a practice budget.
Category Fluency
We've run this category before. Your campaigns start from a playbook, not a blank account.
Fully Transparent
Published pricing. No setup fees. Month-to-month. No contracts.
We use AI to raise the floor, not to cut the bill.
The instinct across the industry is to use AI to run flatter — fewer people on your account, same invoice. We use it the other way: to put more work into every week. More creative variants tested, more of your search structure rebuilt when the data says so instead of when it reaches the top of a queue, more of your landing-page friction actually shipped against rather than documented in a deck.
Month one
You notice the velocity
Tests are in market in days. The account changes between calls, not between quarters.
Month three
You notice the variance
The gap between our best week and our worst week is narrower than you're used to. Consistency is the product.
Month six
The floor has moved
What you now treat as our baseline was the ceiling at the agency you left.
How We Grow a Plastic Surgery Practice
High-ticket procedures need a trust-first funnel. Here's the playbook we run.
Win the Long Research Cycle
Patients research surgery for weeks. We build the content and retargeting that keep your practice in front of them from the first search to the booked consult.
One Procedure, One Page
A dedicated, in-depth page for each procedure, because a rhinoplasty patient and a breast augmentation patient have different questions and different intent.
Track to Booked Consults
Conversion tracking tied to actual consultations and procedures, so you know which spend produces surgeries, not just form fills.
Build Trust Before the Call
Reviews, before-and-afters with patient consent, and credentials front and center, because a five-figure decision runs on trust.
What the first 30 days actually look like.
Every agency says they move fast. Here are the dates, what lands on each one, and what we need from you.
The people who pitch you are the people who do the work.
There's no handoff to a junior team after you sign. The names below are on your calls.
Chad Hilyard
Go-to-market lead
Takes the first call on every inbound, and is still the person on your weekly call six months later. He closes the engagement and then runs it — the same human, start to finish.
Justin Griffiths
Partner, delivery
Owns how the work gets made and the operating model behind it. Spent a decade as a founder and operator on the brand side first, which means he has been on the receiving end of agency reporting and built accordingly.
Simple, Transparent Pricing
Most agencies hide their pricing because it changes depending on how much they think you'll pay. We publish ours because we think you deserve to know what you're getting into before you pick up the phone.
Up to $10K/month in ad spend
$2,500/month flat fee
- Paid search campaign management
- Conversion tracking setup and monitoring
- Dedicated growth advisor
- Monthly strategy check-in
$10K–$50K/month in ad spend
15% of monthly ad spend
- Everything in Starter, plus:
- Landing page design and optimization
- Weekly strategy calls
$50K+/month in ad spend
Custom
- Everything in Growth, plus:
- Email / SMS marketing
- Senior growth advisor + dedicated support
- Custom CRO and 2x/month strategy calls
No setup fees. No long-term contracts. You own all your accounts and assets from day one.
Get Your Free Plastic Surgery Marketing Audit
See exactly where your ad spend is going — and where it should be. We'll analyze your practice campaigns, landing pages, and patient acquisition funnel.
Still Have Questions?
You're not alone — most of our clients have been through at least one bad agency experience. The difference is usually in three things: focus, accountability, and structure. One team owns your whole funnel instead of one slice of it, we set clear KPIs from day one, and we report on actual consultations booked — not vanity metrics. If the last agency sent you a monthly PDF full of impressions and clicks, you'll notice the difference quickly.
Paid search campaigns typically show meaningful data within 30 days and strong performance within 60–90 days. We set milestone expectations during onboarding so you always know what to expect and when. We won't tell you to "just give it six months" — if something isn't working, we adjust.
Yes. Always. Your domain, your Google Ads account, your website code — it's all yours from the moment we set it up. If you ever leave Pedal, you take everything with you. We will never hold your assets hostage. This is non-negotiable for us.
We build all campaigns and landing pages with HIPAA considerations in mind. We don't collect protected health information through ad forms, we use compliant tracking methods, and we follow industry best practices for patient privacy. If your practice has specific compliance requirements, we'll work with your team to make sure everything is squared away before we launch.
Month-to-month. No long-term contracts, no cancellation fees. We earn your business every month. If we're not performing, you should be able to leave — and you can, with everything you own. We stay because we deliver results, not because a contract says you're stuck.
We focus on elective and cosmetic medical practices: med spas, plastic surgery, cosmetic dentistry, hair replacement therapy, and similar verticals. If your practice relies on consultations and booked procedures (not insurance reimbursements) as its primary revenue driver, we're likely a strong fit. If you're not sure, book a call and we'll tell you honestly.
Three things. First, we come from Pearmill — a top-tier performance agency managing $500M+ in ad spend. We bring that level of rigor to your $15K campaign. Second, one team owns the whole funnel — media, creative, your site, and the reporting. There's no seam where the ads team blames the web team. Third, we publish our pricing, we don't do contracts, and you own every asset. Most agencies can't say all three.
After your strategy call, we start with a practice audit — we review your current marketing, website, and competitive positioning. From there, we build a custom plan and present it to you for approval. Once approved, we typically have campaigns live within 2–3 weeks. You'll have a dedicated growth advisor and a clear timeline from day one. No "we'll get back to you" — we move fast.
Let's Talk About Your Growth
Tell us about your business and we'll get back to you within one business day.
Let's Find Out If We're the Right Fit
Book a free 30-minute strategy call. No pitch deck, no pressure. We'll look at your current marketing, your market, and your goals — and tell you honestly whether we think we can help.
Prefer email? Reach us at hello@pedal-performance.com