$650K in Revenue and a 12:1 ROI — How a Spine Surgeon Attracted a Global Patient Pipeline

The Challenge

A skilled spine surgeon in Puerto Vallarta had the reputation and surgical outcomes to match, but his digital presence wasn’t pulling its weight. International patients weren’t finding him online, paid ads were hit-or-miss, and month-to-month inquiries were inconsistent. He wanted to grow sustainably, attract more qualified leads, and gain the freedom to plan his life, without wondering where the next patient would come from.

Key challenges:

• Inconsistent patient flow and unpredictable lead volume
  
• Poor visibility in the search for high-value international keywords
  
• Underperforming ad campaigns lack structure and targeting
  
• No clear marketing engine driving scalable growth
  

Our Solution

We built a comprehensive marketing system to stabilize growth, increase qualified inquiries, and turn his international expertise into consistent revenue.

What we implemented:

• SEO & Content Marketing
  We developed and executed a long-term SEO strategy focused on spine-related procedures and international search terms.
  
  
  • Technical and on-page SEO fixes
    
  • Monthly content centered on patient questions, outcomes, and conditions
    
  • Authority-building to position him as a top-tier surgeon in Puerto Vallarta
    
    
• Paid Advertising for Patient Acquisition
  We launched and optimized a strategic ad campaign targeting international patients actively seeking spine surgery in Mexico.
  
  
  • High-intent keywords tied to specific procedures
    
  • Landing pages tailored to conversion
    
  • Continuous A/B testing and performance refinement
    

The Results (April 2024 – April 2025, International Patients Only)

• $646,289 in new patient revenue
  
• $599,215 in gross profit
  
• 12:1 return on investment
  
• Consistent patient flow, month after month
• ‍Greater flexibility and control, including the ability to take vacations without worrying about patient volume