Google Ads for plastic surgeons. Is your account counting the right leads?
Cosmetic surgery is a health category in Google Ads, so remarketing lists are off limits. And many accounts count YouTube views and map clicks as conversions, so the bidding chases those instead of consult requests. I audit your account, show you what it's really counting and where the money goes, and tell you what I'd change. No pitch. You keep the report.
Takes 24-48 hours. You keep the report regardless.
Running Google Ads since 2007, including cosmetic surgery practices with procedure-level campaigns and call tracking. Google Partner.
- Ads had been paused for 3 months
- The fix: bid only on consult requests and calls
- Keep YouTube views, map clicks and visits tracked, but don't bid on them
A private cosmetic surgery practice.
High-value leads, strict rules, and easy ways to fool yourself.
A general Google Ads approach breaks down here. The health rules limit who you can target, each procedure attracts a different searcher, and the only number that matters is consults that turn into surgeries.
The remarketing point is from Google's Health in personalized advertising policy, which names cosmetic surgery, surgical procedures and injections as sensitive health content.
Four things that decide whether cosmetic surgery ads pay off.
Every audit covers the whole account, but these four areas decide what the bidding chases and how much of the budget turns into consults.
Conversion Tracking
Which actions are set as primary, and whether they're real leads. I flag YouTube, map and page-view actions steering the bidding, old Universal Analytics goals that can't fire anymore, and CRM imports that were set up but never deliver data.
Procedure Structure
Whether each procedure has its own campaign, budget and landing page. When facelifts and injectables share a campaign, the cheaper, higher-volume searches usually take most of the budget.
Search Terms
Searches for cheap or discount procedures, financing, training and jobs, before-and-after browsing, and services you don't offer. I pull the full search terms report and show you what's recoverable each month.
Landing Pages and Calls
Whether ads send people to a page for the procedure they searched, whether calls from ads and from the site are tracked, and whether after-hours calls are going unanswered.
The "near me" searches cost the most, and they should.
US average monthly searches and top of page bid ranges from Google Keyword Planner data, pulled October 2026. The local versions of a procedure search carry the highest bids, because those people are closest to booking. Keyword Planner returned no data for "facelift" or "plastic surgeon near me" when I checked.
| Search term | Monthly searches | Top of page bid |
|---|---|---|
| bbl | 246,000 | $2.30 to $11.33 |
| blepharoplasty | 135,000 | $1.30 to $6.53 |
| med spa near me | 110,000 | $2.23 to $13.09 |
| rhinoplasty | 90,500 | $2.78 to $11.73 |
| breast augmentation | 74,000 | $1.80 to $11.35 |
| liposuction | 74,000 | $3.24 to $13.07 |
| tummy tuck | 60,500 | $2.79 to $10.28 |
| mommy makeover | 40,500 | $2.03 to $9.00 |
| liposuction near me | 14,800 | $3.40 to $16.00 |
| tummy tuck near me | 8,100 | $3.15 to $15.18 |
How I set up Google Ads for each kind of procedure.
Each procedure group gets its own campaign, budget and landing page, and every one of them bids on consult requests and calls, not views or visits. Here's what changes from one to the next.
Body contouring
"liposuction" gets 74,000 searches a month, and its local version tops out at $16.00, the highest bid on the list. Liposuction, tummy tuck and mommy makeover each get their own ad group and page, with the budget weighted toward the local searches.
Breast procedures
"breast augmentation" ran from 60,500 searches in December 2025 to 110,000 in September 2026. Augmentation and reduction patients ask different questions, so they get separate ads and pages instead of one breast surgery campaign.
Face and nose
"rhinoplasty" gets 90,500 searches a month with top bids up to $11.73. Keyword Planner returned no data for "facelift" when I checked, so facelift campaigns are judged from your own search terms and impression share instead of a market estimate.
Eyelid surgery
"blepharoplasty" gets 135,000 searches a month, but its top bid only reaches $6.53, a sign that many are researching. I keep it on local, consult-focused searches and let the search terms report show whether it earns more budget.
BBL
The biggest search on the list at 246,000 a month. If you offer it, it gets its own campaign, page and budget cap, so its volume can't take money from your other procedures. If you don't, it's blocked.
Injectables and med spa
"med spa near me" gets 110,000 searches and "lip filler near me" 74,000, at top bids of $13.09 and $10.46. High volume, lower value per visit. They run in a separate, capped campaign so they can't drain the surgical budget.
Three steps. 48 hours. No fluff.
I keep it simple on purpose. The point is for you to understand what I found, not to sit through a 60-minute presentation.
Share read-only access
You grant read-only access to your Google Ads account. Takes about two minutes. I can see your campaigns and reports, but I can't change your campaigns or settings.
2 minutesI pull the data and build the report
I review conversion tracking, campaign structure by procedure, search terms, landing pages and targeting. You get a complete written report, not a slide deck with screenshots.
24-48 hoursReview it. Decide what's next.
I walk you through the findings on a video call. If the numbers don't justify hiring me, I'll tell you that. You keep the report either way.
Your callBuilt for plastic surgeons and cosmetic practices.
Practices running Google Ads for surgical and non-surgical cosmetic procedures, who want to know which ads produce consults and which just produce clicks.
Plastic Surgery Practices
Board-certified surgeons and group practices advertising facelifts, rhinoplasty, breast and body procedures.
- One campaign trying to sell every procedure
- Not sure which ads produce consults
- Paying an agency without clear reporting
- Restarting ads after a pause
- Adding a new surgeon, location or procedure
Med Spas and Cosmetic Clinics
Clinics advertising injectables, lasers and other non-surgical treatments, where volume is high and margins vary.
- Cheap searches using up the budget
- Discount and deal shoppers filling the calendar
- Not sure what the health ad rules allow
- Calls and bookings not tracked back to ads
- Spending more each month without clearer results
Restarting a cosmetic surgery account.
A private cosmetic surgery practice brought me in to restart its Google Ads. The first job is making sure the bidding only chases real consult requests.
Common Questions
Yes. No credit card, no trial, no catch. I pull your account data, build the report, and walk you through it at no cost. If you want to work together after that, we can talk about it. If not, you keep the report.
Not with your own audience lists. Google treats cosmetic surgery as a sensitive health category, so remarketing lists and customer uploads can't be used for targeting. Google's predefined audiences are still allowed, and search campaigns built by procedure don't depend on audiences to work.
Consultation requests and calls from real prospects, and ideally consults that turn into booked procedures, imported from your CRM. YouTube views, map clicks and page visits can be tracked for reference, but they shouldn't be primary conversions, because the bidding will chase them.
Two parts: the clicks and the management. In Keyword Planner data from October 2026, top of page bids for most procedure searches topped out between $6.53 and $16.00, with "liposuction near me" highest. What matters more is how many clicks it takes to get a consult. For management I charge a fixed monthly fee, quoted up front and never a percentage of your ad spend, and I work with ad budgets from $1,500 a month.
For most practices, yes. Facelift, rhinoplasty and body contouring searches have different costs and different value per patient. Separate campaigns let you set the budget where the return is, instead of letting the cheapest clicks use it up.
That's fine and more common than you'd think. The audit is independent of whoever is managing your account. You'll get an honest read on what's working and what isn't. What you do with that information is completely up to you.
Read-only access to your Google Ads account. That means you add me as a read-only user. I can see your campaign data and reports, but I can't change your campaigns or settings, or access anything outside of Google Ads. Takes about two minutes to set up. I'll send instructions when you submit the form.
No. Your account data is used solely to produce your audit report. I don't share it with third parties, use it for any other purpose, or retain it after the engagement ends.
Find out what your account is really counting.
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"Their strategic paid search expertise led to our acquisition by a larger healthcare company in 2020."
Founder, Healthcare Startup
Client for three years
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