Managing ads yourself feels like saving the agency fee. In practice, it costs two things. The first is your time: an hour a day in Ads Manager is an hour away from patients or family, spent learning a tool that changes every few months.
The second is the budget itself. On a ₹20,000 monthly budget, our fee is ₹4,000. If wrong settings send even a quarter of the budget to people who will never visit, that's ₹5,000 lost every month, more than the fee, and you still haven't got the patients.
Choosing Meta and Google is the right instinct. Most clinics we see run exactly those two. What's missing is someone who runs them properly.
