The 300 Women Playbook
How to find the women near your clinic who already want what you sell, and get them to pay a deposit before they ever walk in.
Read it once tonight. Build it next week.
This is the system we install for med spas, written out so you can install it yourself. Nothing in here needs an agency. It needs about ten days and a willingness to stop buying leads.
Every number in this playbook that describes your clinic is an example. It is shaped like a real one so the math is easy to follow, but you have to put your own numbers in. Wherever you see a tag like this assumption it means replace it.
Every number that describes our campaigns is real and comes from live ad accounts. Those are historical results from specific clinics over specific periods. They are not a promise about yours. Every market, every offer and every clinic is different.
The goal of this playbook is not more leads. It is fewer, paid, and already on your calendar.
The 300 women math
You do not need a big audience. You need to know exactly how small the real one is, because that is what tells you what you can afford to pay for her.
Most clinic owners think of their market as "women in my city". That number is useless. It is too big to plan with and it makes a $150 booking feel expensive when it is not.
So we narrow it down in five steps until what is left is a number you could almost write on a whiteboard.
The five cuts
| Cut | What you are asking | Example |
|---|---|---|
| 1. Radius | Who could realistically drive to you? Use a 20 minute drive, not a mile count. In a dense city that may be 6 miles. In a spread out metro it may be 18. | 220,000 people |
| 2. Women, 30 to 60 | Your actual treatment age band. Widen or narrow it to match what you sell. | 31% = 68,200 |
| 3. Can pay cash | Household income above the line where a $900 treatment is a decision, not a crisis. | 38% = 25,916 |
| 4. In market now | Not "would like to one day". Actively thinking about a treatment in the next 90 days. | 4% = 1,037 |
| 5. Reachable this month | The share you can actually put an ad in front of and who will act inside 30 days. | about a third = 345 |
Every percentage above is an assumption. They are the shape of a typical suburban US metro, not a measurement of yours. Replace them.
Roughly 300 women near you are, this month, actively considering the exact thing you sell. Not 68,000. Three hundred.
Here is the part that changes how you plan. Those 300 are not a ceiling you chip away at. With enough budget you can put your offer in front of every one of them this month. Demand is not what limits you.
What actually limits you
Two things, and neither of them is the size of your market.
Budget is the first one. Across the accounts we run, a booked, deposit paid appointment costs somewhere between $30 and $150. Where you land inside that range is decided almost entirely by the offer, which is what Part 02 is about.
| Booked appointments | Ad spend at $30 each | Ad spend at $150 each | What it takes |
|---|---|---|---|
| 40 | $1,200 | $6,000 | What most clinics are willing to spend in month one |
| 120 | $3,600 | $18,000 | A clinic that has seen the math and has the chairs |
| 300 | $9,000 | $45,000 | The whole in market pool, if you could staff it |
That spread is real and it is published. Two of the screenshots on igxmarketing.com sit at the ends of it: 42 appointments at $27.00 each in October 2025, and 82 appointments at $153.31 each across January and February 2026. Same method, different offers, different markets.
The offer is the biggest lever on what a booking costs you. A five times swing sits between a good one and a lazy one.
Chairs are the second one. Three hundred new patients in thirty days is more than most clinics can physically treat without hurting the patients they already have. That is a real limit and you should respect it.
But notice what neither of those limits is. Neither of them is "there are not enough women near me". When a clinic books 40 a month, it is almost never because 40 was all that was out there. It is because a few thousand dollars was the budget and 40 was what the calendar could absorb.
Forty is a budget decision and a staffing decision. It has never been a market size decision.
This matters because it changes the question you ask. You stop asking whether there is enough demand, which there is, and start asking the only two questions that decide the outcome: what is a booked appointment actually worth to me, and how many can I deliver well? Part 02 sets up the first. The math sheet at the back answers it.
How to get your own radius number in ten minutes
- Open Meta Ads Manager and start a new ad set. You do not have to publish anything.
- Set the location to a drop pin on your clinic with a radius, and set the radius to your 20 minute drive.
- Set gender to women and the age band to your treatment ages.
- Leave all interests off. Interests make the estimate look better and mean nothing.
- Read the audience size estimate. That is your cut 2 number, measured rather than assumed.
Then apply your own income and intent assumptions to that figure. Write the final number down. Put it somewhere you will see it when you are deciding whether $120 for a booked appointment is expensive.
A small market is not a problem. A small market you have not counted is.
The offer she pays for first
She is not buying a discount. She is buying certainty about a decision she has already been having with herself for months. Price the entry, never the treatment.
Here is the trap almost every clinic falls into. The calendar gets quiet, so someone runs a promotion. Twenty percent off. Then the next quarter it is thirty percent off, because twenty stopped working. Within a year the clinic has trained its own market to wait for the sale, and the brand is worth less than it was.
The way out is not to stop making offers. Women respond to offers. The way out is to change what is on offer.
The ladder
Every offer that works sits on a three step ladder. The ad only ever sells step one.
| Step | What it is | What it does |
|---|---|---|
| Entry | The first visit. Specific, time bound, paid for with a deposit. | Turns a stranger into someone who has paid you and is in your chair. |
| Core | The treatment she actually wants, at full price, decided at the visit. | This is where the visit becomes revenue. |
| Plan | The course, package or membership that follows. | This is where a visit becomes a patient. |
The entry offer is never a discount on the core treatment. That is the whole trick. You are not selling Botox at a discount. You are selling a first visit that is worth turning up for, and the Botox is priced normally when she gets there.
Eight rules for discounting without looking cheap
- Discount the entry, never the treatment. A reduced price on your core service tells her your normal price was invented. A valuable first visit tells her nothing about your pricing at all.
- Always give the price a reason. A new device arriving. A new injector opening her book. A quiet January. A block of seats set aside. A price without a reason reads as desperation. A price with a reason reads as a decision.
- Take a deposit. Every time. Free reservations are not reservations. A woman who has paid $50 turns up. A woman who filled in a form is still deciding.
- Make the deposit a credit, never a fee. "$50 to hold your time, taken off the cost of your treatment" is a completely different sentence to "$50 booking fee", and it converts like one.
- Cap it, and say the cap out loud. "Twelve seats this month" is believable and checkable. "Limited time only" is neither, and everyone has learned to ignore it.
- Never use the sale words. Sale, deal, cheap, bargain, blowout, percent off. They belong to a different kind of business. Use: reserved, held, credit, seats, first visit, opening list.
- Anchor once, quietly. State the normal price a single time, in normal type, near the offer. Repeating it or shouting it makes the whole thing feel like a pitch.
- Let the photography carry the luxury. One real room, natural light, your actual injector. No stock models, no purple gradients, no confetti. The picture decides whether she believes the price before she reads a word.
The words, side by side
Read the right hand column out loud. Nothing in it is a discount, and yet every line is more compelling than the one beside it. That is the entire point of this section.
Three offers you can copy
Each of these is built the same way: a specific first visit, a real reason, a deposit that becomes credit, and a cap. The dollar figures are examples. Put your own prices in.
The First Syringe
Who it is for: a woman who has been thinking about filler or tox for a year and has never booked because she does not know who to trust.
What she pays now: $50 to hold her time.
What she gets: a 30 minute face mapping session with the injector, a written plan, and $100 credit toward treatment on the day. Her $50 comes off as well, so she arrives with $150 of credit.
The reason: your injector is opening a limited new patient list, or you are moving to a new product line.
The cap: a real number of seats for a named month.
The anchor, stated once: a syringe is normally $650. example
Why it does not look cheap: the treatment price never moved. You gave away time and planning, which cost you far less than a discount and is worth more to a nervous first time patient.
The Skin Reset
Who it is for: a woman whose skin has changed and who has been buying more and more expensive products instead of getting a treatment.
What she pays now: $75 to hold her time.
What she gets: a diagnostic skin analysis, a single entry level treatment on the day, and a written three step plan for the next 90 days. Her $75 is credited if she starts the plan.
The reason: a new device has landed and you are building a before and after library with a limited group.
The cap: the number of slots you can actually deliver in a month without hurting your existing patients.
The anchor, stated once: the full course is normally $2,400. example
Why it does not look cheap: she is buying a diagnosis, not a discount. Diagnosis is the most premium thing a clinic can sell, and it makes the course that follows feel prescribed rather than upsold.
The Six Week Shape
Who it is for: a woman with a date in mind. A wedding, a holiday, a reunion.
What she pays now: $100 to hold her start date.
What she gets: a body mapping session, measurements, a six week schedule with her sessions already in the calendar, and the $100 credited to the course.
The reason: the course only works if it is finished, so you only open starts at the beginning of each month.
The cap: one intake per month, which is true, because the schedule is the product.
The anchor, stated once: the six week course is normally $3,200. example
Why it does not look cheap: the scarcity is structural rather than invented. You are not pretending to run out. The programme genuinely has a start date.
If you cannot say out loud why the price is what it is, she can feel it. Give every offer a reason and the discount stops being a discount.
The deposit page
A form makes a lead your front desk has to chase. A page that takes a card makes a patient. The difference is one step, and it changes who walks in.
Here is the part that matters more than the design. When you send traffic to a form, you are asking Meta to find people who fill in forms, and it will. When you send traffic to a page that takes a deposit, and you tell Meta that a deposit is the thing you want, it goes and finds women who pay. Same budget, different woman.
So the page is not just a nicer form. It is the instruction you give the algorithm.
What goes on it, top to bottom
- One headline that names the treatment and the outcome. Not your clinic name. She does not know your clinic name yet.
- The offer box. Three lines only: what she gets, what she pays now, what she pays on the day. If a visitor cannot answer those three questions in four seconds, the page is not finished.
- One real photograph. Your room or your injector. Not a stock image of a woman in a towel. This single element does more for your close rate than any headline you will write.
- Three proof lines. Short, specific, and true. A number of patients treated, years open, a real review quote. Three is enough. Twelve looks nervous.
- The booking step, with the deposit inside it. She picks a time and pays in the same flow. If she picks a time and you email her a payment link later, you have rebuilt the lead problem.
- What happens next, in three lines. Confirmation now, a reminder the day before, what to bring. Certainty is what she is paying for.
- The refund line, stated plainly. Reschedule freely with 24 hours notice, credit never expires. Say it clearly and more people pay, not fewer.
- Four questions, answered. Does it hurt, how long does it take, how long does it last, what if it is not right for me. Nothing else.
The offer box, written out
Mechanics that decide whether it works
- Deposit size. Large enough that turning up matters, small enough that it is not a decision. For most US clinics that sits between $50 and $100. Below $25 it stops predicting attendance.
- The card is taken at booking. Not after. This is the single most common place clinics break the system and then conclude it does not work.
- Times she can actually attend. If your only slots are Tuesday at 11am you will blame the ads for a calendar problem.
- Confirmation in under a minute, with the address, the parking situation and the injector's first name.
- A reminder the day before and the morning of. Show rate is not a marketing metric, it is an operations one.
- Tell Meta about the deposit. Fire a purchase or a schedule event on the confirmation page and optimise the campaign for that, not for leads. Without this step the rest of the page is wasted.
Ask Facebook for form fills and it finds women who fill in forms. Ask it for deposits and it finds women who pay.
The three ads we run
Three angles, because three different women are scrolling. Run all three from day one and let the account tell you which one your market is.
Every ad below is written for the injectables offer in Part 02 so you can see the whole thing end to end. Swap the treatment words for skin or body and the structure holds.
Angle 1: the specific outcome
For the woman who knows what she wants and is looking for somewhere to have it done. This is usually the cheapest booking in the account and it is the first one to scale.
Creative direction
Your injector talking to camera in your actual treatment room, no script on screen, 20 to 30 seconds. Phone footage is fine and often beats a produced video. Open on her saying the first line of the primary text.
Angle 2: the objection
For the woman who has been quoted a frightening number somewhere else, or who is scared of looking done. This one usually has the highest value per booking.
Creative direction
Static image of the written plan on the desk, or the injector's hands marking a face chart. Avoid faces mid treatment. Avoid anything that looks clinical enough to be frightening.
Angle 3: the local one
For the woman who needs to know other people like her already go to you. Weakest on day one, strongest after 60 days once you have real reviews to quote.
Creative direction
The front of your clinic, or the room with a real patient in it who has given written permission. Local specificity is the whole point. Name the suburb.
How to run them
- One campaign, one ad set, all three ads. Do not split them into separate ad sets to be fair to them. Let the account decide.
- Optimise for the deposit event, not for leads and not for landing page views.
- Targeting: location, gender, age band. Nothing else. Interests shrink the audience and the algorithm already knows more about who books than you do.
- Judge nothing for the first 7 days. Under about 20 to 30 deposit events a week the account has not learned anything and neither have you.
- Replace the losing creative, never the winning one. Most accounts die because someone got bored of an ad that was still working.
Two rules that get med spa accounts shut down
Meta restricts before and after images and anything implying an idealised body or appearance outcome in health and beauty advertising. Side by side transformation shots are the most common reason a clinic account gets rejected or restricted.
You also cannot imply you know something personal about the viewer. "Worried about your wrinkles?" asserts a personal attribute. "The plan comes before the needle" does not. Write about the treatment and the process, never about her body.
The 10 day install
This is what the ten days actually contain, in the order we run it. The order is most of the job. Do these out of sequence and you will spend money before the thing that measures it exists.
Read this as a scope of work rather than a checklist. Every line is a decision someone has to own, and the two that sink most clinics are not the ones you would expect.
Pick the one treatment
The one you have capacity for and margin on. One. Not a menu. A menu is why the last campaign did not work.
Write the entry offer
Use the ladder in Part 02. Write what she gets, what she pays now, what she pays on the day, the reason and the cap. Five lines. If it takes more you have not decided yet.
Build the deposit page
Eight blocks from Part 03, in that order. One page, no navigation, nothing linking off it.
Wire payment and the calendar
Deposit taken at booking, in the same flow. Confirmation, a day before reminder and a morning of reminder. Test it with your own card and refund yourself.
Shoot the creative
One afternoon. Injector to camera for angle 1, the written plan for angle 2, the clinic front for angle 3. A phone is fine.
Install the pixel and the deposit event
Pixel on every page of the site. A purchase or schedule event on the confirmation page only. Verify both in Meta Events Manager before you spend a dollar.
Build the campaign
One campaign, one ad set, three ads. Optimise for the deposit event. Location, gender, age. No interests.
Break it on purpose
Go through the whole thing on your own phone as a stranger would. Pay a real deposit. Check the confirmation, the reminder, the calendar entry and that the event fired once and not three times.
Launch
Set a daily budget you can run for 30 days without flinching, using the affordability number from the math sheet rather than a feeling. A budget you panic about on day 4 is worse than a smaller one.
Read it, do not touch it
Check the deposit count and the cost per deposit. Fix anything broken. Change nothing that is merely disappointing. That comes at day 14.
The clinics that fail at this almost never fail at the ads. They fail at day 4 and day 6.
The patient math sheet
This is the sheet that tells you what you can afford to pay for a booked appointment. Once you know that number, everything else is arithmetic.
Worked example
Every figure here is an example. The column you care about is the last one.
| Line | How you get it | Example |
|---|---|---|
| Booked appointments | Deposits taken in the month | 120 |
| Show rate | Attended divided by booked | 85% |
| Attended | 120 × 85% | 102 |
| Conversion at the visit | Bought something divided by attended | 60% |
| New patients | 102 × 60% | 61 |
| Average first visit | Your till, not your price list | $620 |
| First visit revenue | 61 × $620 | $37,820 |
| Repeat within 12 months | Your own history | 2.2 visits |
| 12 month patient value | $620 × 2.2 | $1,364 |
| 12 month cohort value | 61 × $1,364 | $83,204 |
What you can afford to pay
| Line | How you get it | Example |
|---|---|---|
| Gross margin | After product, consumables and clinical time | 65% |
| Margin per new patient, 12 months | $1,364 × 65% | $887 |
| Patients per booked appointment | 85% × 60% | 0.51 |
| Margin per booked appointment | $887 × 0.51 | $452 |
| Break even cost per appointment | The point where you make nothing | $452 |
| Target at 3x return | $452 divided by 3 | $151 |
On these example numbers you could pay $151 for a booked, deposit paid appointment and still triple your money over twelve months.
A booking actually costs between $30 and $150 depending on the offer. Put those two numbers side by side. That gap is the whole opportunity, and most owners never work it out because they are comparing a booking to the price of a click instead of to the value of a patient.
What it looks like at each level
Same example clinic, three different budgets. The per patient economics do not change. Only the size of the decision does.
| Booked | New patients | First visit revenue | 12 month value | Ad spend, $30 to $150 each |
|---|---|---|---|---|
| 40 | 20 | $12,400 | $27,280 | $1,200 to $6,000 |
| 120 | 61 | $37,820 | $83,204 | $3,600 to $18,000 |
| 300 | 153 | $94,860 | $208,692 | $9,000 to $45,000 |
The bottom row is the whole in market pool from Part 01. It is on the table because the demand is on the table. Whether you go after it is a budget and staffing decision, and now you have the numbers to make it deliberately instead of by default.
Your turn
Fill this in with your own figures before you spend anything.
| Line | Yours |
|---|---|
| Show rate | ________ |
| Conversion at the visit | ________ |
| Average first visit value | ________ |
| Visits in 12 months | ________ |
| Gross margin | ________ |
| Margin per booked appointment | ________ |
| Most you can pay per appointment | ________ |
If you do not know your show rate or your conversion at the visit, that is the first thing to fix. You cannot buy appointments sensibly without them, and no agency can work it out for you.
Now you know what to do. Doing it is the other ten days.
Everything in here is what we build for clinics every week. The thinking is yours to keep. The part that takes the time is the build, the creative volume, the testing and knowing what to change on day 14 instead of day 4.
That is what IGX does. We build the offer, run the Meta ads, produce the creative, run the deposit backed booking page and handle the reminders. You treat the patient.
Book a free call with IGXResults referenced are historical examples from specific clinic accounts over the periods shown. They are not guarantees of future performance. Every market, offer and clinic is different. Individual results vary.
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