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LivHospital · MLP Care · 8 hospitals
★★★★★ Real Google Search Console Data · ~4.4 M Monthly Clicks at The Top
● Healthcare SEO · Case study · 01
Healthcare SEO Case Study: How Magnero Scaled Liv Hospital to Millions of Monthly Clicks
Liv Hospital is a world-class medical institution, yet online it was far less visible than it deserved to be. At Magnero we tied content, SEO, design, software, advertising, and reputation into one plan and grew the site from roughly 30,000 monthly visits to millions of monthly clicks at its peak. This is a healthcare SEO case study, told step by step and in plain language.
4.4M
Peak monthly clicks
from ~30K visits
2M
US keywords ranked
Semrush
350K+
Pages in the authority engine



● THE OVERVIEW · 02
The 60-second version
LivHospital is an internationally accredited Turkish healthcare group established by MLP Care. Since opening its flagship Ulus branch in 2012, it has expanded to eight locations across Istanbul, Ankara, Gaziantep, Samsun, and Baku. While their clinical reputation was world-class, their online presence lagged with just 30K monthly visits. Over 14 months, we rebuilt their digital infrastructure from the ground up. We deployed a 360° marketing ecosystem, including a custom CRM, WhatsApp Cloud API, offline conversion attribution, programmatic ads in 43 countries, and a 350K-page SEO authority engine. The results were remarkable: monthly organic traffic surged from 30K to a peak of 4.4M (ranking for ~2M U.S. keywords with 270M+ impressions), average transaction value skyrocketed from $300 to $13,000, and patient ratings climbed from 3.8★ to 4.8★.
8 hospitals
Istanbul · Ankara · Gaziantep · Samsun · BakU
43 countries
International patient base
~350K
Pages in the authority engine
50+
Specialist content writers
● HEADLINE KPIS · 03
The numbers that matter
Average cart value
▲ +4,233%
$13.000
Average lead/treatment package (previously $300)
Monthly organic clicks
▲ +14,000%
~4.4M
Peak monthly organic clicks (previously ~30K)
Google RATING
▲ +1.0 pts
4.8★
900 (3.8★) → 9.400 (4.8★) rewievs
Blended ROAS
▲ +7.4×
7.4×
Blended ad revenue (no baseline)
● THE BACKGROUND · 04
The background
behind the decision
Client Context
LivHospital is an internationally accredited, multi-location hospital group in the healthcare sector. Its clinical reputation is already world-class, an asset no marketing budget can buy: international accreditations, a wide range of specialties, and treatment outcomes that transcend borders.
However, in the online world, it didn’t look like the market leader it was. Smaller, lower-capacity competitors, hospitals that had mastered the digital game first, were quietly winning over the patients Liv deserved. The operating rooms were world-class. The pipeline feeding them, however, was not.
Critical perspective: World-class clinical reputation + online presence lagging behind local competitors = the hospital is losing its patient base.
Magnero’s Approach
We didn’t sell a campaign. We proposed building a revenue engine and then nourishing it. Three layers, one system: Infrastructure (CRM + WhatsApp + Offline Conversion) → Demand (360° marketing) → Trust (reputation, referrals, brand).
The order wasn’t random. Each step sets up the measurement infrastructure for the next one. You can’t fix a broken pipeline with advertising. You must build the system first, and then run the campaign.
Key principle: Optimization without attribution = accounting without computers. Tracking first, then tactics.
● Client snapshot · 05
The Client. What We Did.
Sector
Healthcare · Medical Tourism
Founding group
MLP Care · Internationally Accredited
Grand Opening
2012 · Liv Hospital Ulus (Istanbul)
Locations
8 Hospitals · Turkiye + Azerbaijan
Istanbul Hospıtals
Ulus · Vadistanbul · Bahcesehir · Topkapi
Turkiye (outsıde Istanbul)
Ankara · Gaziantep · Samsun
abroad
Liv Bona Dea Hospital (Baku)
Geographic patient base
International Demand Across 43 Countries
Services
CRM · WhatsApp · SEO · Technical · Local · AI · Content · CRO · PPC · Social · PR · Analytics
Engagement TIıme
14 Months + Ongoing
Magnero tEAM
Over 50 experts + mandatory approval by a medical editor
Reporting cadence
Weekly Slack + Monthly QBR + GSC Live Panel
● The challenge · 06
A World-Class Hospital, Nearly Invisible in Search
challenge 01 · A superficial approach
The website described the hospital, not the questions the patient was looking for
The content described the hospital, but it didn’t address the conditions, treatments, and questions people were actually looking for. There was no systematic answer for each step of the clinical journey (symptoms → condition → diagnosis → treatment → recovery → medication → follow-up).
Challenge 02 · No scalable structure
Scattered one-time pages
The content existed not in a structure that search engines would recognize as an authority, but as scattered, standalone pages. There was no topical authority; internal linking was weak; each page was fighting on its own.
challenge 03 · Limited international reach
Single-language content for an organization that attracts global demand
For an institution that attracts patients worldwide, the content was not built around that global demand. There were no structured, multilingual pages that responded to combinations of country, city, treatment, and price.
Challenge 04 · A heavy, slow foundation
A heavy page-building plugin + weak authority signals
The site was reliant on a heavy page-builder plugin that was slowing down its pages. This was both undermining Core Web Vitals and disrupting the structured authority signals sent to search engines.
challenge 05 · Weak authority signals
An average entry fee of $300 meant attracting the wrong fish
Most of the incoming requests were worth around $300 (consultation + entry-level services). Liv’s real strength lay in complex treatment journeys that offered far greater value. The hospital was targeting the wrong market entirely.
challenge 06 · No system · No trackıng
Leads on WhatsApp + the Click-to-Action Gap
Leads were coming in via web forms, phone calls, and most frequently via WhatsApp, the primary channel for international patients. From there, they would simply get lost in spreadsheets, inboxes, and on mobile phones. Because there was no attribution linking a Google click to an actual surgery, marketing was flying blind.
There was also the competition. We deliberately set our sights on the top clinics in the United States, the ones that had ranked at the top of search for years. We did not just want to be visible; we wanted to compete with the very best.
● The mission · 06B
The Goals Magnero Set with Liv Hospital
It’s not a promotional offer but a contractual principle. It was written in the first month and remained in full effect in the 14th month.
Goal 01
Be there for every search
Whatever a patient searches about their treatment, Liv Hospital should meet them, leaving as little empty space in the results as possible.
350K+ pages · the entire medical journey
Goal 02
Compete with the best
Build your authority to the point where it can rival the top U.S. clinics that have ranked at the top of search results for years. Not a local competitor, but a global benchmark.
~2M U.S. · organic keyword
Goal 03
Faithful to the rules
Follow Google’s guidelines faithfully to build a foundation that will remain strong in the long run. This was the number one rule: no shortcuts, no black-hat tactics, and no low-quality automated content.
E-E-A-T · strict discipline
Goal 04
Win the AI era
Be visible not only in organic search but also in AI-generated responses. AI visibility (AEO, GEO, and AIO) has been a top priority from day one, not an afterthought.
AI ERA · Priority from Day 1
Goal 05
Build a lasting asset
Establish a permanent asset for the hospital that continues to operate for years and remains in place even after the campaign ends, ensuring the infrastructure is owned, not rented.
For years · an ever-growing asset
● THE STRATEGY + timeline · 07
Three layers. 14 months. Single revenue stream.
System first, campaign second. We built our growth strategy on three pillars: measurable infrastructure, demand at scale, and compound authority, and transformed it into a single revenue engine in 14 months.
Layer 01
Infrastructure
A measurable, leak-free foundation
Custom CRM, WhatsApp Cloud API, and offline conversion form the layer that connects every click to actual revenue.
Layer 02
Request
High-intent traffic, at scale
The SEO authority engine, paid launch, and content form the layer that drives demand in the right market and in the right language.
Layer 03
Compound
Month-over-month growth
The SEO authority engine, Web Stories, digital PR, CRO, and reputation form the layer that ensures lasting results and drives compound growth.
Phase 01 Discovery
Diagnosis — Audit + Tracking
Month 1 · week 1-4
A checkup before spending a single dollar: technical SEO audit, analysis of 5 competitor angles, UX testing, CRO audit, reputation audit. For hundreds of high-intent medical keywords where competitors were ranking, Liv wasn’t even in the top 100.
Deliverables
Technical SEO Audit
Competitor Perspective Analysis
CRO + UX audit
Wins
WhatsApp Leak Detection
The Roadmap Has Been Approved
Phase 02 Foundation
Infrastructure — CRM + WhatsApp + Attribution
Month 2-4 · week 5-16
The custom CRM was built from scratch and tailored to LivHospital’s patient journey (initial inquiry → consultation → quote → treatment → follow-up). The WhatsApp Cloud API integrated all conversations into the CRM. The offline conversion mechanism linked a single click to a surgery.
Deliverables
Custom CRM Live
WhatsApp Cloud API
Offline Conversion
Wins
3,200+ WhatsApp Messages/Monthly were detected
Response Time: 48 hrs → 15 mins
Phase 03 Ramp
Demand — SEO authority engine + content + paid launch
month 5-9 · week 17-36
Clean-slate architectural decision: int.livhospital.com: Programmatic URL structure for 43 countries, 4,755 clinical pages, 86K blog articles, 4 specialized verticals. Google Ads live. Social identity + content deployment.
Deliverables
The Authority Engine is Live
SEM Campaigns Live
Social Identity Ship
Wins
Cart $300 → $8.400
Organic 30K → 850K/month
Phase 04 Compound
Scale — Web Stories + authority + optimization
month 10-14 · week 37-56
554 Web Stories, link building, and digital PR boosted Domain Rating from 38 to 67; CRO experiments and reputation management at scale. The authority metric is growing steadily. The cart total reached $13,000.
Deliverables
554 Web Story
940 Referring Domain
Weekly Opt Cadence
Wins
Cart 43× Lifetime
ROAS 7.4× Stable
● Turning point
The moment when hundreds turned into thousands.
In the second month, paid traffic was increasing, but revenue wasn’t growing as it should have. The offline conversion data clearly revealed the reason: our best patients weren’t converting through the form. On WhatsApp, they were converting days later, and we were optimizing for the wrong metric.
01 · Discovery
The data revealed the truth
Offline conversion revealed that high-value patients convert via WhatsApp and after a long decision-making period.
02 · Revision
We changed the plot
We restructured our campaigns and feed based on a real, WhatsApp-first, long-form evaluation journey.
03 · The jump
The cart has grown to five decimal places
That was the moment when the average cart value began to climb from a few hundred dollars to five-figure amounts.
● Software· 08
Infrastructure — Engineering
from scratch.
● Custom CRM + WhatsApp Cloud + Offline Conversion + PM
A core that competitors cannot replicate
A custom CRM built from scratch, WhatsApp Cloud API integration, an offline conversion mechanism, and a built-in project management system all combine into a single backbone to form a 360° ecosystem.
4 systems · 14 months
1
Discover
Journey mapping
Application → Consultation → Quote → Treatment
2
Architect
System Design
Lead Ownership + SLA + Automation
3
Integrate
WhatsApp Cloud
Cloud API → CRM Ingestion
4
Attribute
Offline Conversion
Return from “Treatment” to “Click”
5
Operate
Internal PM
A single dashboard, visible to all teams
Frontend
React · Next.js · Structured content
Backend
Node.js · REST · Queue
Data
PostgreSQL · Redis · S3
Infra
Cloud · WhatsApp Cloud API · Google Ads API
Deliverables
Custom CRM (patient journey-focused)
WhatsApp Cloud API Integration
Offline conversion mechanism
Internal project management system
Automated content and publishing pipeline
Lead Ownership + SLA Governance
100%
Attribution
3,200+
WA call/month
<15mins
Response SLA
English
One clear voice for a global audience
Qualified lead being tracked
0 → ~1.100/month
Average Initial Response Time
~48hr → <15mins
Intercepted WhatsApp Conversation
Unfollowed → 3,200+/month
Attributable income
0% → 100%
Release log (last 6 releases)
2026-06-12
v3.0
Offline conversion v3
Conversion revenue → click attribution, multi-touch
2026-05-20
v2.4
WhatsApp Auto-Posting
7-day nurture campaign, template approved by a medical editor
2026-04-05
v2.3
Internal PM system
Single-panel team + campaign + patient options visibility
2026-02-18
v2.2
Predictive lead scoring
It signaled a trend toward high-value treatment within the first 60 minutes
2026-01-14
v2.1
WhatsApp Cloud API v2
Tagging + CRM ingestion + automated SLA routing
2025-11-08
v2.0
Private CRM Launch
Patient journey-focused, SLA-driven
● Web design · 09
Web design — a clear, conversion-focused experience.
● Custom design + WordPress custom + Hosting + ADA compliance
The experience that brings in patients based on rankings and influences their choice
Search rankings bring patients to the door, but the experience determines whether they will come in. We redesigned the site from top to bottom based on how real people read and make decisions: a cleaner and calmer interface, clinic-specific components, a single distraction-free blog layout, redesigned check-up pages, and interactive treatment calculators, along with an automatic table of contents, an author bar, an AI summary bar, and always-visible appointment buttons.
2 designers · 12 weeks · medical UX
1
Research
Patient Interview
Mapping the Cross-Border Decision-Making Process
2
Wireframe
IA + Treatment Funnels
Site map, lo-fi flows, patient-journey mapping
3
Tokens
Design Tokens
Clinical Tone + Trust-Building Tips
4
Compose
Hi-fi + Prototype
Treatment configurators, easy CTA
5
Build
Frontend Build
Next.js frontend + WhatsApp handoff
6
Iterate
CRO Trials
Weekly testing cadence
Colors
Typography
Display 32/38
Body Inter 15/23 line-height 1.65 · Mono · Jost · 10 · 0.16em
Spacing scale (4/8/12/16/24/32/48/64)
Radius
Shadow scale
Deliverables · Web experience
Custom website, designed from scratch around the cross-border patient journey
Custom WordPress design (custom development instead of a theme)
Clinic-specific components (by specialty)
Distraction-free single-blog layout
Redesigned check-up pages
Interactive treatment calculators (on-page responses)
Automatic table of contents (navigation for long pages)
Author bar (medical editor’s byline — E-E-A-T)
AI summary bar (search engine-friendly)
Always-visible appointment / WhatsApp buttons
Hosting + maintenance (speed + security + updates)
ADA compliance · WCAG 2.2 AA + skip-link + ARIA
CWV passing (LCP 1.6s) + weekly CRO iteration
Website conversion rate
1.8% → 5.4%
Immediate exit (bounce)
61% → 34%
Share of International Traffic
22% → 68%


● Brand design · 10
The brand identity has been reestablished.
● Brand system · Logo · Guideline · Omni-surface
Rebuilding Trust in Healthcare via Visible Integrity
Trust is everything in healthcare, and trust begins with what you see. LivHospital lacked guidelines defining how to use its brand, which sometimes led to an inconsistent appearance. We started from scratch by creating a logo redesigned from the ground up, a new brand identity, and an official brand guideline. We then applied this identity across every surface, including the website, logo, Pinterest, blog infographics, and social media, maintaining a balance of clinical tone and humanity with one clear, consistent English voice for an international audience.
1 CD · 2 designer · 1 guideline
1
Discover
Stakeholder + competitor
Clinical Leadership Positioning
2
Concept
Logo + moodboard
3 direction, clinical and humanitarian balance
3
System
Color + Type + Voice
Voice framework, 4 pillar
4
Guidelines
Brand guidelines
Guideline PDF + Figma library
Primary
#1C92E9
Primary deep
#236791
Secondary
#DBECFD
Positive
#16AC4E
01
Sincere-clinic
Speak like a doctor, confidently and precisely, but in a way that is approachable. Strike a balance between the patient’s perspective and medical standards.
Not: Cold and corporate, overly friendly
02
Proven
Speak in terms of numbers and clinical data. Do not say “We are the best in the world,” but instead say “27 years, X accreditation, and N treatments.”
NOT: Clichés, exaggerated
03
Guide
The cross-border patient makes the decision. Break it down step by step: options, duration, cost, recovery.
Not: Salesperson, one-way
04
International
The tone should feel warm and clear to a patient anywhere in the world, written in plain English a non-native speaker can follow easily.
not: Local idioms or jargon that don’t travel
Branded search volume
+212%
Direct traffic
+96%
Brand Guidelines
Not available → Official PDF + Figma library
Surfaces on which identity is conveyed
Website (English · international audience)
Logo (rebuilt from scratch)
Brand guideline PDF
Figma component library
Pinterest (medical image)
Blog Infographics
Social media (7 platforms)
Ad creatives
Email Templates
WhatsApp Broadcast Images
Print (brochure + card)
Video overlay + intro/outro
● SEO · 11
Search visibility — the authority engine at scale.
● Content & SEO · Actual Data Provided
~350k+ page authority engine + programmatic advertising in 43 countries + 554 Web Stories
Healthcare search is the hospital’s front door. Before a patient seeks a consultation, crosses a threshold, or places their trust, we have built a platform that captures their entire medical journey, at scale and with clinical accuracy, right from that moment onward.
50+ expert editors
This is especially true for an international brand. Its patient base is global rather than local. A patient seeking treatment in the Gulf, Europe, or Africa often begins this journey months before traveling by searching in their own language on a search engine. If the hospital is not present there at that moment with clear, authoritative, and accurate information, the patient will be lost to a competitor even before becoming aware of the brand’s existence.
Our thesis was simple and uncompromising: you cannot win in medical search by publishing a few hundred good pages, as you need to build an authority engine that covers the entire medical journey at scale, with clinical accuracy and editorial discipline.
15 September
2025
published
A clean-slate architectural decision. Instead of modifying our existing international presence, we launched a purpose-built international subdomain for the entire English/global content engine:
int.livhospital.com
A solid foundation, engineered from day one for scalability, architecture, and international SEO. Organic traffic began flowing starting in October 2025.
1
Audit
6-Field Audit
Technical + Competitor + Intent + Gap
2
Taxonomy
Clinical Taxonomy
26 specialties, 711 subcategories
3
Programmatic
43-Country Engine
Country/City/Topic URL Structure
4
Content
Production line
50+ editors · brief → approval
5
Stories
Web Stories
Modern visual search interfaces
6
Monitor
Weekly GSC
Rank + Click Delta
Authority engine — layer by layer
We didn’t run a “blog campaign.” Instead, we engineered a multi-layered content architecture where each layer serves a distinct stage of the patient journey and a specific search intent, all interconnected within a single topical authority.
4.755
Interlinked clinical pages
Clinical Content Framework
A comprehensive clinical taxonomy that reflects how medicine is actually organized and how patients navigate the system. 26 main categories (cardiology, oncology, orthopedics, neurology…), with 711 subcategories under them, and 5 subpages under each subcategory (individual procedures, treatment options, diagnostic pathways, patient Q&A pages).
Each page is structured around a consistent five-block framework—with two templates based on the type of condition: procedure-focused (Overview → Indications → Diagnosis → Treatment → Recovery) and condition-focused (Overview → Symptoms → Diagnosis → Treatment & Rehabilitation → Lifestyle & Prevention). This modular consistency serves three purposes simultaneously: clinical integrity, a searchable pattern that search engines reward, and structured content that AI response engines can extract.
26 main fields of specialization
711 subcategories
5 child page / subpage
2 clinical templates
Topical clusters
86.000+
articles that captures the public’s interest
Blog Engine — Total Demand Capture
This issue is not merely for show; it is a strategy to systematically address the full range of questions patients ask regarding every condition, treatment, symptom, medication, and path to recovery. While the clinical pages focus on the “what we treat” layer, the blog posts address the upper layer of the discovery-focused, question-driven funnel.
Content on this scale is not a series of tasks, but a system. Behind it was a team of more than 50 expert editors and a disciplined, repeatable production process:
01 · Discover
Taxonomy + AI keyword research
Opportunity analysis based on a master list organized around 26 areas of expertise.
02 · Brief
Title & Brief Description
Verified keywords, headlines, and briefs matched based on search intent.
03 · Production
FAQ in Block Format
Each article fully addressed the target query; AI-friendly with an FAQ section.
04 · Audit
Medical Editor Approval
Every article undergoes medical editor approval before publication, as we make no compromises on E-E-A-T.
255.000
Unique country-by-country breakdown page
Programmatic Country Engine — Global Demand
This is where content strategy and engineering converge on a scale that very few healthcare websites have attempted. To capture the massive and highly specific demand from international patients, we designed a four-part URL architecture:
.com / country / city / topic / subtopic
Every valid 2-, 3-, and 4-part combination of the ~297 target locations, spanning 43 countries and their major cities, has its own indexable page. The key requirement is that each page features unique, non-duplicate content while directly addressing the long-tail, high-intent queries actually entered by international patients.
We built a pricing layer on top of it: each page slug displays the price for that country, plus comparative prices from other countries. A total of ~1,278,585 price points were generated.
~297 locations
43 countries
Unique content per page
~1.28M price point
Comparison Across Markets
4
Expert Content Vertical
Specialized Categories — Technologies, Medications, Check-ups, Guides
Beyond the blog and clinic pages, we’ve launched verticals, each targeting a distinct and valuable search intent: Medical Technologies, which explains the advanced diagnostic and treatment technologies used by the hospital; Medications, which captures high-volume drug queries; Check-up, which is paired with a commercially valuable service line that leads to appointments; and long-form Health Guides, which deepen our topical authority.
Each vertical is linked to related clinical pages and blog posts—so that readers (and search engines) can navigate seamlessly from symptoms → conditions → treatments → medications → technologies → preventive check-ups. This extensive internal linking is what transforms a large collection of pages into a true authority site.
Medical Technologies
Drugs
Check-up
Health Guide
High internal connectivity
554
Web Story (touch-first)
Web Stories — Interactivity and Modern Search Interfaces
To boost engagement and embrace modern visual search interfaces, we created 554 touch-optimized, mobile-first Web Stories across a wide range of clinical fields, including cardiology, oncology, and neurology, spanning a total of 22 clinical categories. This format opens up an additional discovery channel and enhances on-site time and engagement metrics.
Results (Google Search Console, Oct 2025 → Mar 2026): Monthly clicks grew more than 35-fold—from ~11 in October 2025 to a peak of ~422 in January 2026. The format has proven itself:
554 stories
22 clinical categories
~629 total clicks
~15,400 views
~4% avg. TO (peak ~7%)
Single viral story: ~438 clicks
350K+
A special platform for hosting the page
The heart of technical SEO — the platform powering the site
A website of this scale is essentially a software project. We built the platform underlying the site from scratch. We removed the heavy page-builder plugin and built our own lightweight widget system, ensuring that the original content is never altered. We designed a custom visual editor so that the content team could build pages without writing code. We wrote an automated migration tool that transferred hundreds of pages without any loss of content. And we made numerous optimizations to ensure the pages load quickly.
01 · Remove
The heavy plugin has been removed
The page builder, which was slowing down the source page and disrupting structured authority signals, has been removed.
02 · Widget system
Easy custom widget stack
The original content is never altered; CWV scores are preserved when widgets are overlaid on top of it.
03 · Visual Editor
No-code website building
The content team was able to produce hundreds of pages without touching a line of code, increasing editorial speed by 3–4 times.
04 · Migration
Automatic bulk transport
The site was migrated to the new architecture without losing hundreds of pages of content, preserving SEO value while automatically generating a redirect map.
Zero content loss
LCP 1.6s
INP passing
CLS < 0.05
Schema.org structured
Canonicalization at scale
Automatic XML sitemap
The underlying discipline was E-E-A-T and adherence to Google’s guidelines. A single rule governed everything across all content types: strict adherence to Google’s guidelines and E-E-A-T principles, which carry extra weight in YMYL topics like health. There were no shortcuts, no manipulative tactics, and no low-quality automated content that would jeopardize the hard-earned trust of the field.
Reach: From ~30K to a peak of ~4.4M monthly clicks
The content engine’s results speak in orders of magnitude, not percentages. (Source: Google Search Console; peak month: June 2026.)
140×+
Organic clicks
(~30K → ~4.4M/month)
270M+
Monthly views
(Search · Discover · News)
350K+
Authority Engine Page
(The Entire Medical Journey)
~2M
Organic keyword
(Semrush · U.S. only)
Independent Semrush data shows that the domain ranks for ~2 million keywords in the U.S. and has strong parallel footprints in the U.K., Canada, Australia, and India. We did not buy this traffic or chase it with tricks, but instead built an owned asset: a content engine that continues to work long after the campaign ends and grows exponentially.
● PPC · 14
PPC traffic — high intent, high value.
● Paid media · Search · Shopping · Video
With the right intent, in the right market, for the right treatment
We focused paid traffic on high-intent treatment searches. On the first day, we cut back on wasteful spending, restructured the account using the SKAG framework, and optimized campaigns based on the actual user journey, prioritizing WhatsApp-first paths, long consideration phases, and offline conversions across search, shopping, and video, tuned to high-intent treatment searches.
Premier partner
1
Audit
Account + competitor
Waste was cut; roadmap
2
Build
Campaign + feed
SKAG + shopping feed, by market
3
Launch
Search + shopping + video
Google · US / Google · GCC / Other markets
4
Iterate
Bid + creative test
Optimized for offline conversion
Search
High-intent treatment search featuring a SKAG structure, a robust negative pool, and a conversion-focused offer.
Google · EN
Google · AR
Other markets
Shopping
Package + price feed, Merchant Center, by market, stand out with images and ratings.
Feed · by market
Merchant
Smart shopping
Video
YouTube advertising + retargeting; a funnel that moves users from awareness to consideration.
YouTube
In-stream
Discovery
ROAS growth · 14 months
1.8x → 7.4x
1.8x
Month 1
2.9x
month 4
4.3x
month 7
5.8x
month 10
7.4x
month 14
ROAS
1.8x → 7.4x
Cost per conversion
-58%
Qualified lead
+214%
Ad Spend Efficiency
+311%
● Social media · 15
Social media — identity + content + management.
● Social · Content · Community
Identity, content, and community management all in one
We established social media as a brand platform with a unified visual language, one consistent brand voice across every platform, and content closely aligned with the intent of treatment. We managed strategy, production, the publishing calendar, and community management across seven platforms, ranging from medical visuals to Reels, and from patient stories to accreditation content.
7 platforms
1
Strategy
Channel + tone
7 platforms, organized by market
2
Create
Content + Creative
Medical visuals, Reels, infographics
3
Schedule
Calendar + Publication
Monthly ~150 posts, scheduled by platform and market
4
Engage
Community + DM
~2-hour response time, moderation
5
Report
Measurement + Learning
Engagement + Funnel Report

1.2K
Before-and-after treatment photos, patient stories, and an introduction to the clinical team.

680
Content on accreditation, clinical achievements, and institutional trust.

YouTube
3.4K
Explanations of treatment processes and instructional videos for patients seeking treatment abroad.
268K
followers
4.6%
Engagement rate
~150
Monthly post
2 hours
Average response
● Content marketing · 17
Content — centered on the intent of treatment.
● Content · Editorial · Strategy
A content engine designed around the intent to seek treatment
We didn’t just create random blog posts; we structured the content around clusters of treatment intent, each with a pillar page plus supporting guides, managed through an editorial calendar that ensured clinical accuracy, E-E-A-T compliance, and AI-assisted keyword research to find gaps and target the highest-opportunity terms.
Pillar + guides
1
Strategy
Intent + Topic
Treatment intent clusters · pillar + supporting guides
2
Brief
Brief + SEO
Keywords + E-E-A-T + outline
3
Write
Writing + Editing
Clinical accuracy + editorial approval
4
Publish
Publication + schema
Medical schema, internal link
5
Distribute
Distribution
Social + Email + PR
Jan. 12
Cost of Treatment Abroad: A Complete Guide
Pillar
published
Jan. 19
10 Critical Questions to Ask Before a Hair Transplant
Guide
published
Jan. 26
Dental Implant: The Process + Recovery Timeline
Guide
published
Feb. 2
Patient Story: The Journey Through Heart Surgery
Story
Editor
Feb. 9
What does accreditation mean?
Explainer
draft
Feb. 16
IVF Treatment Timeline: A Complete Guide
Pillar
Scheduled
+287%
Organic traffic
340+ / articles
published content
24 categories
Pillar page
3:40 mins
Average reading time
● CRO · 17B
Conversion optimization — traffic is important; action is even more so.
The main rule: traffic is important, but taking action based on that traffic is even more crucial. Across every step, visit, and device, friction is identified, hypotheses are generated, and experiments are conducted.
01 · Audit
CRO Audit
An in-depth end-to-end conversion audit to identify where visitors drop off and pinpoint conversion barriers—technical + UX + copy + forms + trust.
1 audit · Roadmap Delivery
02 · Testing
A/B & multivariate testing
Test different design and copy variations and select the one that delivers the best performance. Statistical significance, minimum sample size, reliable results.
Weekly cadence · experiment
03 · Analytics
Heatmap & behavior analytics
See what users are actually doing on a page: click map, scroll depth, session recording, form analytics.
Hotjar + GA4
04 · Landing
Landing page optimization
Continuously optimize your landing pages for conversions, as it is the fastest way to maximize your budget. Focus on key elements including the hero section, lead forms, social proof, calls to action, and mobile UX.
+3.2× · conversion lift
05 · Funnel
Funnel analysis
Analyze every step of the funnel—fix the drop-off points. For LivHospital: landing page → form → WhatsApp handoff → consultation → quote → treatment.
6-step funnel · optimize
● The AI Era · 17C
AI Visibility & E-E-A-T — winning the new era of search.
It’s no longer enough to just appear in search results; you need to be a source that AI trusts and cites. We’ve made our content clear, well-organized, and accurate enough for AI to read, trust, and cite; we’ve adhered to the E-E-A-T (Experience, Expertise, Authoritativeness, Trustworthiness) principles, which carry extra weight in the healthcare sector.
When Google switched to AI-powered search, many sites lost visibility, but Liv Hospital did the exact opposite and rose in rankings because it had followed Google’s guidelines and established a solid foundation from the very beginning. There were no shortcuts, no black-hat tactics, and no thin, automated content.
01 · AI Visibility
AI Visibility (overarching)
Visibility and citation framework for AI-generated responses, providing systematic optimization across all major AI platforms including ChatGPT, Gemini, Perplexity, Claude, Copilot, and Meta AI.
6 platforms · active
02 · AEO
AEO — Answer Engine Optimization
Clear, quotable content for direct-answer search results: FAQ blocks, one-sentence definitions, structured data, and direct-answer paragraphs.
FAQ · Each Article
03 · GEO
GEO — Generative Engine Optimization
Serving as a source cited by generative AI engines through entity mapping, brand mention monitoring, llms.txt, and structured, citation-friendly content.
LLMS.TXT · live
04 · AIO
AIO — AI Trust Optimization
AI relies on clarity, consistency, and accuracy, which are established through medical editor bylines, author bios, update dates, source references, and medical disclaimers.
E-E-A-T · each page
05 · Platform-AI
Platform-Specific AI Optimization
We implement separate optimization strategies tailored to the distinct expectations of each AI platform, addressing key differences between Perplexity, ChatGPT, and Gemini.
Per-platform · playbook
● Authority & PR · 17D
Digital PR & off-page authority — trust coming from outside the website.
Part of the trust a website earns comes from external sources. This includes media coverage, being cited on authoritative sites, opportunities to fix broken links, mentions where the site is referenced but not linked, and a backlink audit to remove harmful links.
01 · Digital PR
Digital PR
Earned coverage on media and authoritative websites builds both rankings and reputation, leveraging placements across medical news sites, health magazines, and national and international media.
48 Media and Publishing
02 · Broken links
Broken link building
Turn broken links—commonly found in medical sources—into opportunities to gain high-quality, relevant backlinks by proposing solutions, replacing broken content, and earning valuable links.
~180 link · reclaim
03 · Mentions
Unlinked brand mentions
Converting articles that mention the brand but don’t include a link into valuable backlinks. Automated monitoring + human outreach.
Monthly · sweep
04 · Backlink audit
Backlink audit
Check your backlink profile and remove harmful links to protect your domain’s health through disavow tools, spam link identification, PBN detection, and link cleanup.
Quarterly · audit
05 · Reputation
Reputation management
Monitor, protect, and strengthen the brand’s online reputation. Review governance, sentiment monitoring, crisis protocol, and response SLA.
3.8★ → 4.8★
● Measurement · 17E
Analytics & reporting — you can’t manage what you don’t measure.
● Analytics · Attribution · Reporting
A measurement infrastructure that tracks actual revenue
We managed growth with data, not guesswork. We integrated GA4, Google Ads, CRM, and WhatsApp into a single measurement layer, modeled offline conversions, and set up a real-time, role-based dashboard for full team visibility. Because you cannot manage what you do not measure, we focused on measuring the right metrics.
Offline conv.
1
Collect
Data collection
GA4 + Ads + CRM + WhatsApp
2
Model
Attribution
Offline + online, multi-touch
3
Dashboard
Live panel
Looker Studio, role-based view
4
Report
Monthly Report
Channel + Revenue + What We’ve Learned
5
QBR
Quarterly
Strategy + Goal Revision
01
Sources
GA4 · Google Ads · CRM · WhatsApp · Merchant · Call
02
Model
Offline conversion + multi-touch attribution
03
Panel
Role-based live dashboard + automated reports
Turning point
Once offline conversion tracking was enabled, the campaigns began to generate actual revenue: not from people who filled out forms, but from high-value patients who closed the deal on WhatsApp days later. Once the right metric was measured, optimization also started moving in the right direction.
12+ integrations
Data source
offline + online
Attribution
live / role-based
Dashboard
Monthly + QBR
Reporting
● Total outputs · 19
Six areas of service. A single, integrated 360° program.
01
Infrastructure engine
CRM, WhatsApp Cloud, offline conversion.
A kernel built from scratch creates a layer competitors cannot replicate, driving 3,200+ monthly WhatsApp messages directly into the CRM with 100% attribution.
CRM · WhatsApp · Offline attribution
Conv 1.8% → 5.4%
02
Branding & Web Design
Branding + custom website design
Clinical tone + human touch. Treatment configurator, WhatsApp handoff.
Medical UX · CWV passing
03
Authority engine
4,755 clinics + 86K blog posts + 255K programmatic ads.
Over 50 editors, adhering to E-E-A-T standards. Even after the campaign ends, compound growth continues.
350,000 pages · 43 countries · 4 editions
04
Content marketing
Editorial + email nurture + copy + written for an international audience.
An automated workflow that supports patients with long decision cycles.
E-E-A-T content · long decision-making cycle
Email leads ~180/month
05
Social & PPC
Brand identity + content + Google Ads.
7-platform system + 2-hour response SLA. Google AdWords 7.4× blended ROAS.
7 platforms · 268K followers
Rating 3.8★ → 4.8★
06
Authority & PR
940 domains · 48 press mentions · DR 38 → 67.
Building the trust required for medical care, delivered on a large scale.
Link · PR · Reputation
● Results dashboard · 20
14 months of data. Each row points upward.
43×
Average cart value: $300 → $13,000. LivHospital stopped attracting low-cost inquiries and began securing comprehensive, high-value treatment journeys.
Month 0 → Month 14 delta · From GSC + Semrush
Average cart value
$13.000
43×
Monthly organic clicks (peak)
~4.4M
140×+
Monthly impressions (Search+Discover+News)
270M+
peak month
Organic keywords ranked in the U.S.
~2M
Semrush
Number of pages in the search engine index
350K+
4,755 clinical articles + 86,000 blog posts + 255,000 programs
Number of countries reached
43
UK/CA/AU/IN parallel feet
Website conversion
5.4%
+200%
Qualified lead
~1,100/month
+1,122%
Lead → treatment conversion
11%
+7 pts
Blended ROAS
7.4×
No baseline
Number of Web Stories
554
22 clinical categories
Google rating
4.8★
from 3.8★ +1.0 pts
● Before · After · 21
Month 0. Month 14.
before · month 0
Fragmented · low visibility · untapped potential

Average cart value
$300
Monthly organic clicks
~30K
Google rating
3.8★ (900 reviews)
Web Conversion
1.8%
WhatsApp conversation
Unattended
Attribution
Cannot be traced
after · month 14
One authority engine · compounding growth

Average cart value
$13.000
Monthly organic clicks
~4.4M
Google rating
4.8★ (9,400+ reviews)
Web Conversion
5.4%
WhatsApp conversation
Flowing into the CRM (3,200+/month)
Attribution
Click → surgery 100%
Behind the Numbers
Behind the 43× figure lies a quieter number that no headline mentions: thousands of patients every year who seek care they cannot find in their own countries, connecting with a real person who guides them from that first WhatsApp message all the way to a life-changing treatment.
The growth here isn’t just about revenue. It’s about access, providing a form of care that, for many, was simply unavailable before.
● Why It Worked · 23
These six components are part of every Magnero engagement.
Named senior lead
A senior strategist at Slack, not a rotating account executive. Two specific names for LivHospital.
Full-stack execution
Media, landing pages, creative, tracking, attribution, and CRM are all managed fully in-house without any outsourcing.
Click → surgery
The offline conversion mechanism provides 100% attribution, a metric that no other healthcare agency has been able to establish.
Governance-first
Codified rules transform tribal knowledge by centralizing the patient journey, SLAs, and editorial standards directly in Notion.
E-E-A-T framework
Health YMYL. No article is published without a medical editor. There are no shortcuts, and no thinly veiled automated content.
WhatsApp Cloud Priority
International patients communicate via WhatsApp, not email. We realized this on the very first day, so we set up a Cloud API integration.
● Stack · 25
Best-in-class tools. All under one strategist.
Google Ads
WhatsApp Cloud API
Meta Ads
HubSpot CRM
Semrush
Google Search Console
● GOOD TO KNOW · 26