Context of the project
- Specialty: aesthetic and plastic surgery, with its own hospital in Guadalajara.
- Client's objective: attract high-income U.S. patients, especially from California and Texas.
- Starting point: appeared beyond page 10 for English keywords; international organic traffic < 200 visits/month.
- Deadline: 6 months, without stopping ongoing surgeries or "radical redesigns" that would slow down the operation.
2. Initial diagnosis: gaps and opportunities
| Evaluated area | Initial result | Key observations |
|---|---|---|
| Keyword ranking | Pos. > 100 | They did not use terms of transactional intent. |
| Technical SEO (Core Web Vitals) | LCP 4.2 s | Heavy images and no CDN. |
| Content in English | 3 items | Poorly translated, without hreflang or optimization. |
| Thematic backlinks | 22 domains | None from health media or US directories. |
| Schema Markup | Nonexistent | Opportunity for MedicalOrganization y FAQPage. |
3. Keyword research and semantic strategy
- Used tools: Ahrefs, Google Trends, SEMrush, AnswerThePublic.
- Main cluster (search intent "surgery + destination"):
- "plastic surgery in Mexico for US patients".
- "tummy tuck cost Mexico"
- "safe cosmetic surgery abroad".
- Secondary cluster (comparative):
- "Mexico vs US plastic surgery prices".
- "best board-certified plastic surgeon Mexico".
Keywords with volume > 500 and KD (Keyword Difficulty) < 30 were prioritized.
4. 360° Action Plan
4.1 On-page optimization
- New URLs for each treatment + target audience
/tummy-tuck-mexico-us-patients/breast-augmentation-mexico-california - H1 with profit + keyword
"Tummy Tuck in Mexico: Board-Certified Surgery for U.S. Patients". - Content of 1 200 words with:
- Pre and postoperative process.
- Approximate price in USD.
- Specific travel and recovery FAQs.
- Schema applied
MedicalProcedure,FAQPage,Review.
- Hreflang to synchronize EN and ES versions.
4.2 Technical SEO
- Migration to LiteSpeed hosting + Cloudflare CDN.
- WebP image compression (average saving 65 %).
- LCP decreased from 4.2 s to 1.9 s; CLS to 0.05.
4.3 English content production
- Calendar of 8 articles/month (blog + landing page).
- Format: extensive guide (1 500 words), price comparisons, safety checklist.
4.4 Thematic linkbuilding from the USA
- Partnership with two medical tourism portals (< DR 60).
- Guest post collaborations in plastic surgery magazines (topics: "Recovery tips for U.S. patients abroad").
- Profile in USA medical directories (RealSelf, HealthTourism.com) with do-follow backlinks.
4.5 User experience and CRO
- Video testimonials section with English subtitles.
- Sticky CTA "Book Your Virtual Consultation" fixed on mobile.
- 4-field form + pre-filled WhatsApp button.
5. Results after 6 months
| Key Indicator | Month 0 | Month 6 | Variation |
|---|---|---|---|
| Main keyword position | > 100 | 2 | ▲ 98 positions |
| Organic traffic USA | 180 visits | 4 300 visits | +2 289 % |
| International leads/month | 12 | 140 | +1 066 % |
| Landing conversion rate | 1.2 % | 7.8 % | +6.6 pp |
| Average Tickets | $3 200 USD | $3 400 USD | +6 % (upsell packages) |
| ROI on SEO investment | - | 9.4× | - |
Top-3 keywords:
- "plastic surgery in Mexico for Americans" (Pos. 2)
- "tummy tuck cost Mexico" (Pos. 3)
- "safe cosmetic surgery abroad" (Pos. 2)
6. Learnings transferable to your clinic
- Structure by treatment + audience doubles semantic relevance and improves search intent.
- Long and specific content in English gains confidence and reduces rebound.
- Thematic backlinks USA are indispensable; without external authority, the ranking is not consolidated.
- Speed and mobile-firstLCP improvements have a direct impact on CVR.
- Persistent CTAs and short forms better convert international mobile surfing audiences.
Your next step
Ranking your clinic on Google USA is not a matter of luck: it requires auditing, focused content, technical SEO and external authority. If you want to replicate this strategy-or surpass it-contact us at Torres Creative and we design the roadmap that will place your treatment in the international top 3 and multiply your high-value patients.
