Implement or Die...Maybe Not Die

Implement or Die: How I Pivoted My Podiatry Practice (Regenerative Care + MediPedi Spa) Michele McGowan argues independent podiatrists must keep implementing new services instead of staying comfortable in an insurance-dependent model where reimbursement declines and payment isn’t guaranteed. She shares how she pivoted after 20 years of surgery into regenerative, non-surgical care (Softwave TRT, class IV laser, custom orthotics, allografts), then launched an in-practice medical spa service line in two weeks. She describes building a luxury, waterless MediPedi room for about $1,200–$1,500, hiring a licensed nail tech paid hourly plus commission, creating tiered pedicure offerings, and integrating KeryFlex and laser nail fungus services with new bundles like a $1,577 six-visit package. McGowan explains pricing challenges, consent/compliance, training staff with scripts, promoting via social content and ads, and why podiatrists should capture aesthetic foot-care demand with strong processes and experience. 00:00 Introduction: Implement or Die 00:39 About Podiatry Unfiltered 02:54 From Surgery to Regenerative Medicine 05:11 Building the Spa: The Idea 15:51 Creating the Laser + Spa Bundle 18:38 Compliance & Legal Considerations 24:08 Where to Start: Actionable Framework