Med Spa · Plastic Surgery · Healthcare
Patients research for weeks before they book. We make sure your practice is the one they find, believe and call, and we measure every dollar in booked consultations, not clicks.
+376
keywords into Google's top 3 in one month
Toronto Plastic Surgeons Wellness Centre
885K
monthly search impressions, up 30% then 13%
ICLS Dermatology & Plastic Surgery
-82%
cost per lead, from $300 to $55 in one quarter
Maratos Counselling
Practices we grow
Who we serve
We partner with healthcare practices of every specialty. Each one buys differently, so we build the plan around how your patients actually decide, from first search to first appointment.
Injectables, laser, skin and body treatments. We fill the calendar with first visits and keep patients coming back for the next one.
High-consideration procedures with long research cycles. We win the questions patients ask early, then the procedure searches when they are ready.
Dermatology, therapy, counselling and private clinics. Local, high-intent demand, handled with the care a health decision deserves.
And every healthcare specialty in between
Advanced care deserves advanced marketing.
How we're different
Most agencies report clicks, impressions and form fills. In aesthetics and healthcare those numbers hide the truth. We connect every channel to what happens next at the front desk, so budget follows booked revenue.
18.1%
Google Ads conversion rate, vs a typical 3 to 6%
88.7%
form completion, up from 50.6%
Calls and forms tracked as key events, then followed through qualification, consult and booking. We cut what doesn't book.
Procedure pages, Google's map pack, featured snippets and AI answers. We build for search, AEO and GEO together.
Messaging built for advertising standards in health, with no pushy discounts and no before-and-after shortcuts that put your licence at risk.
Strategists who understand patient journeys, provider calendars and multi-location groups. No juniors learning on your budget.
Meet the founder
25+
years in the healthcare industry
Direct Route was founded by Tina Andes, MBA, who has spent more than 25 years in the healthcare industry across healthcare technology, operations and marketing leadership. She knows the business from top to bottom: how patients choose a provider, how front desks convert inquiries, how calendars fill, and how owners and investors measure growth.
That depth is rare in an agency. Your strategy is shaped by someone who already speaks your language, so you spend less time explaining your practice and more time growing it.
Behind her is a hand-picked team of senior experts who have worked alongside Tina for years. Today they are the day-to-day platform specialists and the leaders of every department, from paid media and SEO to web development and client success. The expertise that earns your trust is the same expertise running your account.
Tina Andes, MBA · Founder & CEO, Direct Route
Results
Toronto Plastic Surgeons Wellness Centre
Toronto, ON
Content built to answer patient questions, procedure pages tuned for the local map pack, and every call and form tracked. Now ranking #2 for "liposuction toronto" and "beard transplant toronto".
ICLS Dermatology & Plastic Surgery
Oakville, ON
Procedure pages, surgeon profiles and an educational content hub that now reaches 885K searchers a month, with consultation forms patients actually finish.
Maratos Counselling
Brantford, ON
No ad history and a tight budget. We focused spend on high-intent local search, tested and cut Meta, and let booked sessions drive every optimization.
AEO · GEO · AI search
Long before a patient searches "liposuction toronto", they ask questions. More and more, Google's AI Overviews, featured snippets and tools like ChatGPT answer those questions directly. If your practice isn't the source, a competitor is.
Answer Engine Optimization puts your expertise in front of patients at the very start of their research, so your name is already familiar when they are ready to book.
Pages built around the real questions patients ask, written to be quoted by Google and AI tools.
When a topic takes off, we build a cluster and internal links around it to compound the gains.
Educational pages link into procedure pages and surgeon profiles, so curiosity turns into consultations.
Toronto Plastic Surgeons
Rankings from Ahrefs, May 2026
ICLS Dermatology & Plastic Surgery
Monthly organic clicks, May to Aug 2026
| May | Aug | ||
|---|---|---|---|
| Fix nipples after breastfeeding | 140 | 657 | 4.7x |
| Breasts apart | 113 | 447 | 4.0x |
| Can you increase breast size naturally | 682 | 1,392 | 2x in one month |
What we do for practices
After years of being let down by companies who made empty promises, I had all but given up on marketing my practice. Not only did Tina and her team create a beautiful and functional website, they built a campaign that has consistently produced solid leads that translate to ideal clients for our team.
Free practice growth audit
Our senior team reviews your entire marketing ecosystem, not just one channel, and shows you exactly where patients are finding you, where they are slipping away, and what to fix first.
You walk away with a prioritized action plan, whether you work with us or not.
No cost · No contract · No obligation
What we review
SEO & local rankingsprocedure pages and map pack
Google & Meta adswasted spend and missed intent
AI search visibilityAI Overviews, ChatGPT, snippets
Website & conversionspeed, UX and consult forms
Lead tracking & intakefrom first click to booked consult
Social mediacontent, audience and paid social
Email & retentionrebooking and reactivation
Reviews & competitorshow you stack up locally
Book a short intro call
We audit every channel
You get a prioritized plan
Questions
Aesthetics and healthcare are a core focus, alongside hospitality and professional services. Practices get a team that already knows the patient journey.
Booked consultations and new patients, tracked from the first click through your intake. Traffic and rankings matter only when they lead there.
A flat monthly retainer, never a percentage of your revenue. You know your cost, and our incentive stays on results.
Yes. We have scaled local search across 33+ locations and report by location, provider and service line.
Start with a free Practice Growth Audit: where your patients are searching, where you are missing, and what it is costing you in bookings. No cost, no obligation.
