LA & OC For clinics in LA & OC. See what happens when a patient contacts you at 9:41pm.
Med spas · dental · plastic surgery · hormone clinics

Surgeons close wounds. We close the gaps where patients slip away.

Your patients research at night. I build the site and the AI that answers their questions, texts back the calls your front desk missed, and books the consult before they ask another clinic. Los Angeles & Orange County.

Try it: a patient hits your site at 9:41pm 0:00

Most clinics reply the next morning. By then she has messaged two other practices.

Your phone
New consult request from your website
Marisol O. in Long Beach. Lip filler, first visit.
(562) 555-0182
Sent to Marisol, automatically
Hi Marisol, this is Ana at Luma Aesthetics. We got your consultation request. We have openings Thursday or Friday this week. Which works better for you?
Marisol, 4 minutes later
Thursday works. Afternoon if you have it.

21:41

She just filled in your form.

Two other companies are one tap away.

What I do

One thing, done properly.

I build the site that makes a patient trust you before they call, and the AI that answers them and books the consult when your front desk can't.

Most requested

Websites & AI systems

A clean, fast site that shows your results and makes booking obvious, plus the system that texts back every inquiry and missed call and answers patient questions day and night. Priced to your practice. Book a 15-minute call and you get one number, in writing.

What I don't do

No SEO packages. No daily social posting. No logo design, no "brand strategy" decks, no 12-month contracts. I'd rather be genuinely good at one thing than mediocre at nine.

How it actually goes

From handshake to live
in about ten days.

No mystery, no monthly "strategy sessions" that produce nothing. This is the same sequence every time, and the only thing I need from you is on day one.

1

Day 1 - Intake and accounts

Domain, Google profile and phone number are created in your name, on your card. You send me photos of your practice and your results, and answer a long intake - it is long on purpose, because every question I don't ask now becomes three texts later.

2

Day 1 - Filed with the carriers

Your A2P registration is filed the day you sign. It is the carrier approval that lets the system text on your behalf, it takes as long as it takes, and nothing else can start it - so it goes first, not last.

3

Days 2 - 6 - The site

A custom build from your photos and your own words - no template, no page builder. You see it on your phone before anyone else sees it at all.

4

Days 7 - 9 - The system, then tested

Your number, the automatic text-back, the missed-call catch, the chatbot trained on your own approved answers, booking against your real availability, and the review engine. Then I test it from a real handset - I send a lead, watch the reply land, send STOP and confirm it suppresses. If it does not work on a real phone it is not done.

5

Day 10 - Live, and the log starts

It goes live and the log starts the same minute. Every lead from then on is timestamped - when it arrived, when the reply went out. At day 30 you get the first one-page report, and you can check any line of it against your own phone.

The Offer

Five things in writing.
Not one of them is a lead count.

Every agency in this business promises you leads. None of them will put a refund next to it. Here's what I'll actually sign my name to - all five are things I control, which is exactly why I can guarantee them.

1

Live in 10 days, or the monthly doesn't start

Ten calendar days from the day I have your photos and your logo. Miss it and the clock doesn't start until it's live - you pay nothing for the wait.

2

Your domain and accounts stay yours

Domain, Google profile and phone number are all registered in your name, on your card, from day one. The site itself runs on my hosting while you're on a monthly plan - that's the piece I keep, and I'll say so plainly rather than bury it.

3

Month to month. No cancellation fee.

Thirty days notice - a text is fine. No contract, no remaining balance, no penalty.

4

Every lead is timestamped, and the log is yours

Your monthly report is generated from the actual send log, not from my memory - every lead, the second it arrived, the second the reply went out. You can check any line of it against your own phone. If I can't show you the evidence behind a number, don't pay me for it.

5

Want to own it outright? Name the day

If you want a site you own outright with no monthly at all, that's a separate one-time build, hosted in your name, yours permanently. What it doesn't include is the system: no automatic text-back, no missed-call catch, no AI. If you'd rather just stop, that's fine too: 30 days notice, no exit fee, no argument, and you keep your domain, your Google profile, your number and all your content.

What answering costs the other ways

Less than hiring a person to do it, and it never clocks out.

Part-time receptionist$20/hr × 25 hrs × 4.33 weeks
~$2,165/mo
Before payroll tax. Covers business hours, minus lunch, minus the day they call in sick.
Full-time receptionist$22/hr × 40 hrs × 4.33 weeks
~$3,810/mo
Before payroll tax, holidays and cover. Still goes home at five, and your leads do not.
Answering serviceMonthly minimum plus per-minute
Varies
Reads a script written by somebody who has never seen your prices, your area or your calendar.
You, at 9:41pmThe current arrangement
Free
You are with a patient, closing up, or asleep. She booked with the next clinic at 9:50.
ThisPriced to your practice
Every hour of every day, answered automatically, with a timestamp on each one.

Straight about what it is not: this is not a person. It will not greet somebody in your waiting room, chase an invoice, or read a room. What it does is make sure nobody who tried to reach you goes unanswered until morning — which is the part you are currently losing, and the part a salary was mostly paying for.

Every practice is different, so every plan is priced to yours: your call volume, your locations and the pieces you need. Book a 15-minute call and you get one number, in writing. A refundable deposit holds your build slot until kickoff.
Capture
One time
A site you own outright from day one, no monthly at all. It catches leads - it doesn't answer them.
  • Custom design, no templates or page builders
  • Live in 10 days or the monthly doesn't start
  • Lead form that emails and texts you
  • Every file and login handed over at launch
  • No automatic text-back - you reply when you see it
  • No missed-call catch, CRM or monthly report
Hosting is on you after handover, usually $10-25/mo
Most pick this
Answer
Setup + monthly
Priced to your practice · refundable deposit holds your slot
The site, plus the system that answers for you.
  • Everything in Capture
  • Automatic text-back on every form lead
  • Missed-call text-back on your main line
  • Online booking on your own calendar
  • AI chatbot on your site, answering questions day and night
  • Automatic follow-up on anyone who doesn't book first time
  • Review requests after every visit, with unhappy replies reaching you the same day
  • One-page report every month, straight from the log
  • Unlimited small edits, hosting, updates and backups
Annual option available
Pick Up
Setup + monthly
Priced to your call volume · refundable deposit holds your slot
A text-back is a consolation prize when a $15,000 consult is calling three practices.
  • Everything in Answer
  • AI receptionist answers the calls you miss
  • Answers the pricing, downtime and financing questions, then books the consult
  • After-hours routing, and urgent calls sent to your on-call line
  • Hands off to you on anything out of scope
  • SEO set up and maintained, so the site is findable
  • Call recordings reviewed with you the first two weeks
Short lead time on this one - I'll be straight about the date
Operator
Quote
For multi-location practices and groups.
  • Everything in Pick Up
  • Routing and reporting per location
  • Attribution: which spend produced which booked consult
  • Quarterly review, not just the monthly report
  • A standing monthly seat - I keep shipping
Priced against what the calls are worth, not hours

21:41 · +0s

Nobody is looking at your phone.

You are with a patient, or the front desk is on the other line.

The Systems

Every one of these exists.
None of them is a demo.

These are the pieces the plans are built from. Most are included in Answer or Pick Up; a few are sold on their own. If something below is not live yet, it says so on the card rather than in the small print.

Speed-to-lead text-back

A patient fills in your form at 9:40 on a Saturday. They get a text back before they close the tab. Every send is timestamped in your monthly report.

In Answer

Missed-call text-back

The front desk is checking someone in and the phone rings out. The caller gets a text within the minute asking what they need, instead of calling the next clinic on the list.

In Answer

Online booking

Consults and appointments booked against your real availability, with buffers between them. Tell me which scheduling software you use and I'll confirm how it connects before you pay anything.

In Answer

Review engine

Every patient gets a review request after their visit. Unhappy replies reach you the same day, and nothing in a reply ever confirms someone is a patient.

In Answer

Site chatbot

Answers the six questions you get asked every day - what it costs, whether it hurts, downtime, financing - from answers you approve. It never gives medical advice, and it hands anything clinical to your team.

In Answer

The monthly report

One page. Every lead, every response time, straight from the log. Built so you can check my work rather than take my word for it.

In Answer

Lead leak audit

Everything on your site stopping someone getting hold of you, with the evidence for each finding. Free to run at audit.suture.systems.

Free, or on its own

AI search visibility

When somebody asks ChatGPT or Google's AI who does this locally, a lot of sites are invisible - because their host quietly blocks those crawlers by default. Most owners have never seen the setting.

Sold on its own

Database reactivation

A campaign back through the patients you already have: overdue for a touch-up, due for a hygiene visit, or never booked the treatment. The result shows up on your calendar, usually within a couple of weeks.

Sold on its own

AI receptionist

Answers the calls you miss, answers the basics, books the consult, and hands off to your team on anything clinical. In build - I will give you a real date rather than a maybe.

In build

Consult-level attribution

Which source produced which booked consult, cleanly enough to make a decision on. Useful once a practice has more than one location to compare.

In build

Unified inbox

Calls, texts, form fills and bookings in one thread per patient, instead of four apps and a stack of sticky notes at the front desk.

In build

On the three marked "in build": they are not live for clients yet, and I would rather say that here than have you discover it after you sign. Ask me on the call where each one actually is - I will tell you, including if the answer is months.

21:41 · +8s

Something answered anyway.

Not you. Not a person. Eight seconds after she pressed send.

Run log

This is what the system
actually does at 9:41pm.

Not a diagram of it. The same sequence your report records, replayed line by line with the real elapsed time between each step. Nobody is awake for any of it.

lead-pipeline · replay
idle
21:41:07.220inboundconsult.request · marisol.o · long beach ca
21:41:07.860validatemobile number reachable · not a landline
21:41:08.400notifyfront desk alerted · name, number, treatment interest
21:41:15.020sms.outreply sent to lead · 7.8s after submit
21:41:16.320logwrite to monthly report · timestamped
21:45:19.907sms.inlead replied · "thursday works"
21:45:21.301bookconsult held · thu 14:00 · front desk notified
—doneone consult booked while the clinic was closed
response—
steps0 / 8
human inputnone

A replay of the sequence, not live traffic — the timings are the ones the system is built to hit, and every one of them lands in the client's monthly report where it can be checked line by line.

Thursday 14:00

Booked while it stayed in your pocket.

It was in the book before anyone unlocked the door.

Why Checo

No account managers.
No jargon. No runaround.

I'm one guy, and that's the whole advantage. You text me, I answer - not an account manager, not a ticket queue. At a big healthcare agency you'd be account number four hundred.

You talk to me

Not a sales rep, not a project manager, not an offshore team you never meet. The person you call is the person building the thing.

Straight pricing

One quote, in writing, before you commit, priced to your practice. No hourly billing, no scope-creep invoices, no surprise line items.

Days, not months

A full site is live in 10 days or the monthly doesn't start. The AI goes live with it, not three months later - no agency runaround.

Yours, and portable

Your domain, Google profile, phone number and all of your content are in your name from day one. The site and system run on my platform while you're on the plan. Want one you own outright instead? That's a separate one-time build.

Let's go

Fifteen minutes.
About your practice, not a pitch deck.

Answer a few questions, pick a time, and I'll run your site through the lead-leak audit before we talk. You leave the call knowing what happens to a patient who contacts you at 9:41pm, whether you hire me or not.

Free 15-minute call
See It Answer First

Priced to your practice - one quote, in writing, on a 15-minute call. Live in 10 days or the monthly doesn't start. Every form lead texted back automatically.

Refundable deposit to start · Month to month · No contracts
One build fee, then a flat monthly
You talk to me, not a rep
Your site audited before the call
Live in 10 days or the monthly doesn't start
(562) 382-0518
Questions

The questions practices ask
before every build

Straight answers, same as you'd get on the phone. If yours isn't here, use the chat bubble or the form below.

How much does a website and AI system for a clinic cost?

It depends on your practice: your call volume, how many locations you have, and which pieces you need. There are three ways in. Answer is the site plus the system that answers patients for you. Pick Up adds an AI receptionist for the calls your front desk misses. Capture is a site you own outright, with no monthly. Each has a setup fee and then a flat monthly, priced to you. Book a 15-minute call and you get one number, in writing, before you commit. Billing starts the day it goes live, not the day you sign.

Is it HIPAA compliant?

It depends on how your practice is set up, and I ask about it on the first call before anything collects patient information. The standard setup is built to take a name, a phone number and a consult request, not medical history. If your practice is a covered entity and needs HIPAA-compliant hosting and a signed BAA, that is an add-on with its price on the services list, and I will tell you plainly which parts it covers.

Will the AI give my patients medical advice?

No. The chatbot and the AI receptionist answer from a set of answers you approve - what a treatment costs, how long a visit takes, downtime, financing, how to book - and hand anything clinical to your team. You see what it says before it goes live, and every conversation is logged.

Does it work with my booking software?

Tell me which one you use on the call - Boulevard, Vagaro, Zenoti, Mangomint, Aesthetic Record, Dentrix, Open Dental, Eaglesoft or anything else. I will confirm how the booking connects before you pay anything. I will not sell you a second calendar your front desk has to copy by hand.

Do I own my website, domain and accounts?

Your domain, Google Business Profile, phone number and all of your content are created in your name and your email from day one. I am only a manager on them, and you keep every one of them whatever happens. The site and the AI run on my platform while you are on a plan, the same way your hosting does. If you want a site you own outright and host yourself, that is a separate one-time build.

How fast can my site go live?

Ten days from the point you send your logo and photos, or the monthly doesn't start for the wait. Meta ad campaigns take roughly two weeks to build and another two to tune.

Do you lock clients into a contract?

No. Everything is month to month with 30 days notice and no cancellation fee. If you leave, I hand over the keys and help you move.

What is the automatic text-back?

Every patient who fills in a form on your site gets an automatic text back, and your front desk gets texted at the same time. If a call rings out, the caller gets a text instead of a voicemail nobody checks until morning. Most new patients are not lost to bad marketing, they are lost to a callback that came the next day. It works on mobile numbers only, since a landline or a mistyped number cannot receive a text, and your monthly report lists those separately.

Do you guarantee a certain number of new patients?

No, and nobody honest can. That depends on your market, your pricing and how your team handles the consult. What I put in writing instead: live in 10 days or the monthly doesn't start, every inquiry texted back automatically, every account in your name from day one, month to month with no cancellation fee, every lead timestamped in a log that is yours to check, and if you leave I hand over the keys and help you move. Month one is data, not profit.

What kind of practices do you work with?

Clinics that live on new-patient inquiries: med spas and aesthetics, implant and cosmetic dentistry, plastic surgery, and hormone, TRT and medical weight-loss clinics, across Los Angeles and Orange County. I build the site and the AI for the whole practice, aesthetic and medical alike. I am local, so I can come to your practice instead of doing everything over email.

What don't you do?

Logo and brand identity, paid ads of any kind, and print. The core of what I do is websites with an AI system that answers and books. Everything else I offer, from AI receptionists to SEO and patient reactivation, is priced on the services list, and if you need something I don't do, I'll tell you who to call.

Book a call

Book a 15-minute call

Five quick questions, then you pick a time. Your answers mean the call is about your practice and what's costing you patients, not a sales script. About two minutes.

15 minutes, on your schedule
I audit your site before we talk
You talk to me, not a sales rep
No spam. No pressure. Ever.
Step 1 of 5

What kind of practice is it?

So I can look at your site and what nearby practices are doing before we talk.

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How many locations?

Roughly how many new-patient inquiries a month?

Calls, form fills and DMs together. A guess is fine.

What's a new patient worth in their first year?

Treatments, packages, memberships. This tells me what one missed call costs you.

What's costing you patients right now?

Pick everything that applies. This is what the call will be about.

A patient calls at 8pm. What happens?

What do you book appointments in?

So I can confirm the AI books straight into it before you pay anything.

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Spending on ads right now?

When do you want this fixed?

Last part. Who am I talking to?

Next screen is the calendar, already filled in with this.

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Please don't include patient or medical details here. No spam and no drip sequence.

C
Suture Systems
Online - ask me anything