A patient considering a breast reduction does not start on your website. She opens the map, taps the three practices at the top, and reads. Board certification, photos, the rating, whether anyone has posted since last summer, and what the worst review says. Your surgical judgement is not on that screen.
What stings is knowing your results are better than the practice one suburb over that markets harder. They are not winning on outcomes. They are winning because their listing has something from Tuesday and yours has something from a year ago.
So the practice coordinator posts when the surgical schedule allows, which means nothing goes out in the busy months and the listing goes quiet exactly when the most people are looking. Nobody notices, because nothing visibly breaks.
And the consultations that do arrive are increasingly price shoppers who found you on a directory, while the researched, ready patient who read for six months and compared three surgeons never once saw your name.