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Plastic Surgery

More Surgical Consultations from Patients Who Are Ready to Decide

Pedal is a performance marketing agency built by the team behind Pearmill, with deep expertise in cosmetic surgery marketing. Your patients research for weeks before picking up the phone — we make sure your practice is the one they find, trust, and book.

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No commitment. 30 minutes. We'll tell you honestly if we can help.

$0M+ Ad Spend Managed
0+ Practices Served
0% Client Retention

Built by the team behind Pearmill — the firm that has managed $500M+ in ad spend for the fastest-growing companies in the country.

The Problem

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.

Why Us

Built 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.

Performance Agency Pedigree

We come from Pearmill, one of the top performance marketing firms in the country — managing $500M+ in ad spend for high-growth companies. Pedal brings that same methodology and rigor to your practice, without the enterprise price tag.

Deep Vertical Expertise

We go deep, not wide. Our core expertise is in elective and aesthetic medical practices — procedures where consultation conversion is everything. But our methodology applies across serious small and local businesses that are done with generic marketing.

You Own Everything

Your domain. Your ad accounts. Your website code. Your data. From day one, every asset we create belongs to you. If you ever leave, you take it all with you. No exceptions, no hostage situations.

Services

Three services. One outcome: more consultations.

We don't try to be everywhere. We focus on the three things that drive the most bookings for elective medical practices — getting found by patients who are ready to book, converting them when they land, and making sure your website works as hard as your ads do.

Paid Search (Google Ads)

More consultations from patients searching right now

When someone in your area searches for your procedure type, your practice shows up — and converts. We build and manage search campaigns that bring in patients who are actively looking for what you do.

Landing Page Optimization

Turn more clicks into booked consultations

Getting the click is only half the job. We build and continuously optimize the landing pages your ads send patients to — so your ad spend converts at the highest rate possible, not the industry average. More consultations from the same budget.

Web Design & Development

A website you own that converts visitors into bookings

We build fast, modern websites designed around one goal: turning visitors into booked consultations. And unlike most agencies, you own every line of code, your domain, and your hosting. No lock-in, ever.

Want to see what this looks like for your practice?

Book a Free Strategy Call
Results

The Numbers Do the Talking

Plastic Surgery · Denver, CO

The Challenge

A solo facial plastic surgeon was spending $8K/month on Google Ads managed by a generalist agency. All clicks went to the homepage. Consultations were inconsistent and unpredictable.

What Changed

Pedal restructured the campaign around high-intent procedures (rhinoplasty, blepharoplasty, facelift), built procedure-specific landing pages with before/after galleries, doctor credentials, and a simplified consultation form.

Consultation volume increased 2.4x in 90 days. Cost per consultation dropped from $520 to $218. The surgeon is now booked 8 weeks out.

Representative of results achievable based on team experience managing similar practice campaigns.

Cosmetic Surgery Group · Atlanta, GA

The Challenge

A small 3-surgeon practice had strong organic referrals but no reliable paid acquisition. When referrals slowed, the pipeline dried up completely. They had no predictable demand generation.

What Changed

Pedal launched procedure-specific Google search campaigns with dedicated landing pages per surgeon and per procedure, including strong trust signals: board certifications, before/afters, and review counts.

Paid channel now accounts for 40% of new consultations. Monthly revenue from new patients is up 68% year over year.

Representative of results achievable based on team experience managing similar practice campaigns.

What Surgeons Say

Don't Take Our Word For It

“The biggest thing for me was owning my own website and ad accounts. My last agency held everything hostage when I tried to leave. With Pedal, I have full access to everything from day one. That alone made it worth switching.”

Dr. James K. Founder, Renew Cosmetic Surgery, Denver CO

“I was skeptical — I'd tried Google Ads before and it felt like burning money. Pedal rebuilt everything and within 90 days I had more new-patient consultations booked than in any quarter I can remember.”

Dr. Marcus R. MD, Precision Aesthetic Surgery, Atlanta GA

“They understand the surgical consultation sales cycle in a way no other agency I've worked with did. These aren't impulse buyers — Pedal builds marketing that speaks to how my patients actually make decisions.”

Dr. Lisa W. Board-Certified Plastic Surgeon, Dallas TX

Ready to see results like these?

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Pricing

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.

Starter

Up to $15K/month in ad spend

$2,000/month flat fee

  • Paid search campaign management
  • Dedicated account strategist
  • Conversion tracking setup and monitoring
  • Bi-weekly performance reporting
  • Full asset ownership from day one
Book a Strategy Call
Most Popular

$15K–$50K/month in ad spend

12% of monthly ad spend

  • Paid search + landing page optimization
  • Dedicated account strategist
  • Landing page design and optimization
  • Weekly performance reporting and strategy calls
  • Full asset ownership from day one
Book a Strategy Call
Scale

$50K+/month in ad spend

10% of monthly ad spend

  • Full-service management (search + landing pages + web)
  • Senior strategist + dedicated support
  • Custom landing pages and conversion rate optimization
  • Weekly reporting, monthly strategy reviews
  • Full asset ownership from day one
Book a Strategy Call

No setup fees. No long-term contracts. You own all your accounts and assets from day one.

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. We only work with medical practices, 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, we only work with medical practices. We're not a generalist agency that treats your med spa like a pizza shop. 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 strategist and a clear timeline from day one. No "we'll get back to you" — we move fast.

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