Premium Multi-Branch Orthopedic Clinic A premium multi branch orthopedic clinic in a high trust category where patients have always arrived through doctor referrals had never tapped into paid digital. We built a Google Ads system around how patients actually search, splitting pinched nerve, bone and joint pain, and height correction into dedicated campaigns that met each patient right at the moment they decided to act. The result: 3,447 patient inquiries at $6.77 each over ten months, roughly 60% cheaper per inquiry than where they started. Proof that even the most referral dependent medical categories open up with the right search setup.