What Clients Check Before They Book a Med Spa

Client reviews of two dozen med spas in nine US metros, 296 in all, read one by one and sorted by what people praised and what they complained about. Posts on Reddit by people choosing or using a med spa, 50 of them. Zenoti's survey of more than 1,100 US med spa clients. Source: Zenoti (zenoti.com/thecheckin/medspa-booking-survey-data). And MyAdvice's survey of 275 people who researched a med spa online, as reported by Boulevard. Source: Boulevard (joinblvd.com/blog/2025-aesthetics-consumer-survey-report).

Two limits before you use any number below. Most of the complaints we could read were about one national chain that sells packages and contracts, so the list of fears describes it more than the clinic down the road. And both surveys come from companies that sell software and marketing to med spas. Their figures are real, but read them knowing who asked.

63% of the people MyAdvice surveyed compared two to five med spas before choosing. Behind that comparison is one question: is this person safe to let near my face, and will this clinic treat me as a client or as a sale?

Something usually starts the search. A first treatment, and nerves: 33 of the 205 good reviews came from people who were scared or new and were put at ease. A result elsewhere that went wrong. An injector who moved or left, because clients follow the person, not the building. A text promotion or a discount voucher. A wedding or a birthday with a date attached.

The single most common thing in the good reviews was a name. 139 of the 205 positive reviews named the injector, the nurse or the aesthetician, and 68 mentioned their skill, training or license. Who is doing the injecting was also the most common question in the Reddit posts.

59% of people in the MyAdvice survey said About Us is the most important page on a med spa's website. New York's Department of State tells consumers to ask whether the person treating them holds the license the procedure needs. Source: New York Department of State (dos.ny.gov). So put every injector on the site by name, with a face, their license or credential written the way they hold it, and how long they've been doing it.

79% of the regular med spa clients Zenoti surveyed have skipped booking because it was too hard to reach someone or to book online. 83% said calling is usually the easiest way to change an appointment. In the complaints we read, not being able to reach anyone came up in 31 of 91.

A phone number that gets answered, honest hours, online booking that works, and a line on how fast you reply. And keep the details right: 55% of the people MyAdvice surveyed are less likely to choose a med spa that shows wrong information.

Clients compare clinics per unit, per area and per syringe, and most sites make that impossible. Price confusion was one of the most common complaints in the Reddit posts: people with three quotes in three different units and no way to line them up.

Show your prices in the unit you charge, say what a typical treatment usually takes, and state the consultation fee if there is one. One first-timer asked whether a paid virtual consult was a red flag. A clear line on the site answers that before they have to ask.

68% of consumers will only use a business with four stars or more, 74% only count reviews from the last three months, and 47% won't use a business with fewer than 20. Businesses that reply to every review are more likely to be chosen by 80% of consumers. Source: BrightLocal, Local Consumer Review Survey 2026 (brightlocal.com/research/local-consumer-review-survey). Those figures cover local businesses in general, not med spas alone.

Show your rating and count, newest first, and let the reviews name the injector. Reply to the bad ones as well as the good.

Being explained to came up in 47 of the good reviews, and being told no more than needed in 15. The fear runs the other way: being sold more than needed appeared in 13 complaints and 10 of the 50 Reddit posts, often after a discount brought someone through the door.

Say what happens at the first visit: who you see, what they ask, how long it takes, and that nothing is sold that day unless the client asks. Then say what a treatment will and won't do, and the real downtime.

Contracts, refunds, financing and packages were behind most of the complaints we read, though nearly all of those came from the one chain. Memberships worried 6 of the 50 Reddit posters. Write down how deposits and refunds work, what a package or membership commits a client to, and what happens if they want to stop.

Before-and-after photos and testimonials are regulated, and the rules differ by state. California sets out what a before-and-after image must show and say. Source: California Business and Professions Code section 651 (codes.findlaw.com/ca/business-and-professions-code/bpc-sect-651). Texas has its own rules for medical advertising. Source: Texas Medical Liability Trust (tmlt.org/resource/texas-rules-on-physician-advertising). The FTC's rule on fake reviews applies everywhere. Check your own state's rules before you publish results. This isn't legal advice.

First, your injectors by name, with their license and how long they've been doing it. Second, a phone number that gets answered, honest hours, and how fast you reply. Third, prices in the unit you charge, with the consultation fee. Fourth, reviews with a rating, a count and the injector each one names. Fifth, what the first visit is like, and that nothing is sold that day. Then what each treatment will and won't do, what happens if something isn't right, and your money terms in plain words. The room and the team photos come after those.

It tells you what clients say they look for. It doesn't tell you how many more bookings any one change brings for your clinic, because nobody has measured that across med spas. We also couldn't read Yelp, RealSelf or Google reviews, because they block automated reading. The reviews here come from Birdeye, Trustpilot, Sitejabber and clinics' own review pages.