How Google Ads Works
Google Ads is a paid search platform. You choose keywords, the search terms you want your ads to appear for, and set a maximum bid for each click. When a patient searches one of those terms, Google runs an auction among advertisers bidding on the same keyword. The ads that win appear at the top of the search results page, above the organic listings.
You pay when someone clicks your ad. Not when it appears, when someone clicks. That click goes to a page on your website, or a dedicated landing page, where the goal is to get the visitor to book an appointment.
You control the budget. You set a daily cap, which Google will not exceed. You control which geographic areas see your ads, down to specific suburbs or a radius around your clinic. You control which hours your ads run.
The core elements of any Google Ads campaign are:
- Keywords, the search terms you bid on
- Ad copy, the headline and description that appear in the search results
- Landing page, where the click goes
- Bid strategy, how you compete in the auction
- Negative keywords, search terms you specifically exclude to avoid wasting spend
All five interact. A great ad pointing to a slow, confusing landing page produces poor results. Strong keyword selection with no negative keywords produces irrelevant clicks. Each element matters.
Why Google Ads Works for Health Practices
The key word in "search advertising" is search. Someone searching "sports physio near me" or "exercise physiologist Parramatta" is not browsing. They have a problem and they want to solve it. That intent makes health search one of the most valuable advertising contexts available.
Immediate results. Unlike SEO, which takes three to six months to build momentum, Google Ads drives traffic from the day a campaign goes live. For new practices, or practices in competitive areas without strong organic rankings, this is often the fastest path to bookings.
Geographic precision. You can target patients within a specific radius of your clinic. No spend on suburbs your patients will not travel from.
Service-level targeting. You can run separate campaigns for separate services, sports injury, women's health, NDIS, paediatric, with ads and landing pages tailored to each. A patient searching for NDIS support sees a message specific to NDIS, not a generic "we treat everything" homepage.
Measurable cost per booking. When set up correctly, Google Ads tells you exactly what each new booking costs. That number allows you to make an informed decision about whether the channel is delivering a return.
Common Mistakes
These are the mistakes that explain most of the "we tried Google Ads and it didn't work" stories.
Sending traffic to the homepage. Your homepage is designed for many different visitors with many different intentions. A patient who clicked an ad about back pain does not want to land on a page about everything your practice offers. Dedicated landing pages, one per campaign, sometimes one per service, convert significantly better.
Broad match keywords with no negative keywords. Broad match allows Google to show your ad for searches related to your keywords. Without negative keywords, this means your ad for "physiotherapy" may show for "physiotherapy salary" or "physiotherapy course online". You pay for those clicks. Negative keyword lists take time to build but save substantial wasted spend.
No conversion tracking. If you cannot track bookings, you cannot know whether your campaign is working. Setting up conversion tracking, so that a completed booking form or a phone call from the website registers as a conversion, is not optional. It is the only way to know what you are getting for your spend.
Set and forget. Google Ads requires ongoing management. Bids, keywords, ad copy, and search term reports all need regular attention. A campaign that was profitable in month one may plateau or decline without optimisation. Weekly review is a minimum standard for active campaigns.
Targeting too wide an area. Patients searching for a health practitioner are looking for someone accessible. Most will not travel more than fifteen to twenty minutes. Targeting an entire city for a single-location practice wastes budget on people who will not convert.
Ignoring ad copy. Generic ad headlines, "Book an appointment today" or "Quality physiotherapy", compete poorly against ads that speak to the patient's specific situation. The headline is what earns the click. A click from a well-qualified patient is worth far more than multiple clicks from people with no intention to book.
What Good Management Looks Like
Good Google Ads management is active, transparent, and focused on bookings, not on vanity metrics like impressions or click-through rate.
Weekly optimisation. Search term reports reviewed weekly. Negative keywords added regularly. Bids adjusted based on performance data. Landing page issues addressed as they emerge. Monthly check-ins are not sufficient for an active campaign.
Reporting that shows what matters. Clicks and impressions are easy to report. Bookings per month, cost per booking, and return on ad spend are harder to measure but are the numbers that tell you whether the channel is worth continuing.
Negative keyword management. A well-managed negative keyword list is one of the clearest signs of an experienced operator. It takes time to build and requires ongoing attention.
Landing page focus. The best campaign managers pay as much attention to what happens after the click as to what drives the click. Page load speed, booking form usability, and message match between the ad and the landing page all affect conversion.
Honest communication. You should know where your budget is going, which campaigns are performing, and what is being tested. If your reporting does not answer those questions clearly, ask for a better report.
Read more about LHM's Google Ads management service.
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