Why plastic surgery practices in Houston overpay for leads
High-ticket surgical leads need a long nurture cycle, but most accounts measure success at the form fill and never track which consults actually book surgery.
Houston mixes very high-ticket legal and medical demand with a huge Spanish-first service market — separate campaigns per language is the single biggest lever. On top of that, Houston accounts almost always mix Spanish and English keywords in one campaign, which inflates CPCs on both sides and hides which language is actually producing revenue.

