Why plastic surgery practices in San Antonio 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.
San Antonio is majority Hispanic, which makes Spanish-first campaigns the primary channel rather than a secondary experiment. On top of that, San Antonio 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.

