Industry Guide · 15 of 15 chapters published

Google Ads for Plastic Surgeons: The Complete Guide to Booking More Consultations

A cosmetic patient researches for months, compares surgeons, studies galleries and reads reviews before asking for a consult. These fifteen chapters build a Google Ads account around that journey, using real searches, websites and ads from the Dallas-Fort Worth market. The method works for practices anywhere in the US.

15chapters
17,395Dallas searches sorted by intent
20practice websites studied

Google Ads for Plastic Surgeons Has to Outlast a Months-Long Decision

Five steps, in the order we build the account. Numbers come from our example market, Dallas-Fort Worth; yours will differ, but the method holds.

01
Measure · Chapters 1-3

Google Stops Counting at 90 Days. Cosmetic Patients Take Longer.

A patient can book surgery in month five, and Google won't credit a conversion more than 90 days after the click. So the account learns from what happens soon after it:

  • A consult request by form or online booking
  • A call of 30 seconds or more
  • A text conversation that turns into a consult request

Track that an inquiry happened, never the height, weight or photos the form collects. Then price each procedure on its own: in our worked example, a mommy makeover click is worth about $31 and a breast augmentation click about $10.50.

02
Build · Chapters 4-8

The Local Searches Look Tiny. They're Where the Consults Are.

The big procedure searches belong mostly to people still researching. The account starts with the smaller local ones, in what we call the Isolation campaign: exact match only, one procedure per ad group, a page for each procedure, down to “reverse tummy tuck,” and manual bids priced procedure by procedure.

Keywords come from competitor websites through Google's Keyword Planner, and the negative list gets checked against patient slang: a negative written for job seekers can block “boob job dallas,” with 720 searches a month. The ads come from reviews, where a fear like “looking fake” becomes “Natural Results, Not Overdone.”

03
Launch · Chapter 9

Google Files Cosmetic Surgery Under Health, and the Settings Follow

Health is a sensitive category, so ads can't be aimed at people based on who they are or what they've done; Search is the channel those rules leave alone. Patients travel for their surgeon, so the location follows where your consults actually come from, not a simple radius. AI Max goes off in the Isolation campaign, and the practice name and the med spa each get their own campaign.

04
Scale · Chapters 10-13

The Photos That Sell Surgery Can't Run in Performance Max

An Exploration campaign (also our name) takes over once consult requests reach about 30 a month, usually in months two or three and sooner for bigger accounts. Performance Max usually follows around months six or seven, one asset group per procedure, fenced off from the brand and the med spa, and without patient lists or breast and body photos. Demand Gen has to pass a budget test first; Local Services Ads and AI Max come late, if at all.

05
Plastic Surgery · Chapters 14-15

The Gallery Sells the Surgery. The Med Spa Gets Its Own Campaign.

Before-and-after photos ranked third among what women value when choosing a provider, named by 53% in a 2019 RealSelf survey conducted by The Harris Poll. Google counts exposed breasts and buttocks as nudity even when blurred, so those results belong on the gallery page, with the patient's written permission. Injectables get their own campaigns, budgets and goals, because mixed in, automated bidding chases the cheaper Botox booking every time.

Fifteen Chapters, One Account, Built in Order

Start at Chapter 1 if the account is new. Each chapter leans on the ones before it.

The Rollout, Month by Month

The order matters as much as the campaigns. Each step waits until the one before it has taught Google something.

Month 1

Isolation and brand

Exact match on the procedure searches most likely to book, plus your practice and surgeon names.

Months 2-3

Exploration

Broad match with a target CPA, once consult requests reach about 30 a month.

Months 6-7

Performance Max

Only after months of clean consult data, and without the photos Google won't allow.

When funded

Demand Gen

Video that introduces the surgeon to patients still researching.

Later, if at all

Local Services Ads and AI Max

Pay-per-lead ads with little control, and Google's newest automation, fenced in.

Running more than one specialty under one roof? Google Ads for Healthcare shows how to run them as one account without one service line starving the rest.

Google Ads for Plastic Surgeons

Patients Research a Surgeon for Months. One Ad Won't Close Them.

We've run paid ads for 25+ years and seen just about every way a budget goes sideways. Get on the phone with someone who does this every day. Bring your questions, your numbers and your skepticism. You'll hang up knowing what we'd do, whether you hire us or not.

Or see how our Google Ads management works.