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How to choose a med spa marketing agency

Choose the agency that can show you how leads become booked appointments, not just how it gets leads. Ask who answers each lead and how fast, who owns the accounts, what you are locked into, and which clinics you can call for a reference.

By the directory editors · updated November 13, 2026

Ten questions to ask

  1. Who answers a new lead, and how fast? Ask for the median time to first reply, and what happens at 9 pm on a Saturday.
  2. What do you report on? Booked consults, shows and new patients by treatment beat clicks and cost per lead.
  3. Who owns the ad accounts, CRM and website? They should be in your clinic's name.
  4. Is ad spend billed to me directly? And is any of it marked up?
  5. What is the minimum term? Several agencies here start with 90 days or three months.
  6. Which two med spa clients can I call? Named, reachable references.
  7. What does the follow-up look like? Texts, calls, reminders and rebooking, and who builds them.
  8. How do you handle healthcare ad rules and patient privacy? Ask about before-and-after photos, reviews and whether they sign a business associate agreement.
  9. Who will actually do the work? The founder, a specialist team or a rotating account manager.
  10. What happens if we stop? What you keep, and how long it takes to hand over.

Red flags

What this directory shows

Of the 21 agencies listed, 6 publish prices and most name few or no clients. Use the pricing page to compare published fees, the case study index to see who shows results, and the service pages, such as CRM and automation agencies, to shortlist by what you need.

Common questions

What should I ask a med spa marketing agency before hiring?

Ask who answers your leads and how fast, whether you own the ad accounts and CRM, what the contract term is, whether ad spend is marked up, and for two named clients you can call.

Should a med spa hire a specialist or a general agency?

A specialist knows treatment cycles, consult bookings and healthcare ad rules. A general agency may bring more channels and staff. In this directory, specialists and general agencies both publish prices and results, so compare on proof rather than labels.