We ran one search, a plastic surgeon, from 25 spots around Headington in Oxford. You appear lower down the first screen in many of those spots. In most, you are not among the top three. Each dot is one of those spots; Green means you are in the top three.
From those parts of Headington, someone searching on their phone may not come across you. So what does the same search look like for a nearby practice?

From the same spots around Headington, and further out, Isabel Teo Plastic Surgeon appears above you.
We ran the same search from the same spots around you, so these two maps can be read side by side.
That suggests a wider local presence is reachable around Headington in Oxford. So the next question is whether people are searching for you by name at all.

This suggests the Google searches we found do not use your practice name.
So what happens when someone searches for the surgery you do, without your name?

These are searches for plastic surgery services you offer, mainly breast surgery, nipple reconstruction, ear pinning and scar revision.
The gap is in your own field: these searches are for plastic surgery you do offer, but none of the pages we found is being seen by new patients around Headington yet.

Some of what you have built is already working and worth keeping. A few things are holding you back, and each of them can be put right.
I used to run clinics myself, so this is two colleagues reading the same page together. None of these gaps needs solving all at once; each one can be taken on its own.
Patients choose before they call: from the first names on the map, from the first results on Google. My team rebuilds what decides that, your Google listing and the pages a patient lands on, and keeps it up every month. Here is what happens if you reply.
WhatsApp or a voice note. Tell me which part of this page matters most to you. I reply myself.
We agree the priorities and what Forge will deliver, in writing. It is the only real time this asks of you.
Your Google listing and the pages a new patient lands on. Fixed before anything is built on top.
Kept up month after month. You watch it in a shared table, with a regular call, and your own people kept in the loop.
Four practices, four kinds of work. Delivered, not promised.
See the projectsEvery page about implants rebuilt, down to the questions patients ask before deciding. Kept up month after month.
The page patients land on before they book, her Google advertising, and a weekly letter to the colleagues who refer to her.
Every question his patients ask, mapped, then written and linked from his own publications.
His whole site reviewed page by page, and the three-month plan, city by city.
For a given specialty. So we do not work with the practice on the second map above, and would not while working with you.
Then very little: the odd decision, and your clinical eye where it matters.
If you stop, you keep all of it. No minimum term.
Agreed in writing. Nobody honest can promise you a position on Google, and we will not.
I'm a doctor. I used to run a group of clinics, and I know this part of the job is not why anyone chooses medicine. Today my team does it for practices like yours: the research, the writing and the set-up. You come in only where clinical knowledge matters.

WhatsApp or voice note: +33 7 43 69 81 74. Tell me which part of this page you want to understand better. I reply myself. This page was made for your practice only, and it comes down 32 days after it was published.
The questions practitioners actually ask me after a page like this.