High-Volume, Low-Cost Lead Generation for a Spine Center

overview


This project focused on generating qualified patient leads for a Spine Center offering treatment for Back Pain, Neck Pain, Sciatica, and Slipped Disc. The campaign was executed through Facebook Lead Generation Ads, targeting three competitive healthcare markets: Canada, Pakistan, and the UAE. The primary goal was to achieve consistent daily leads at a sustainable CPL while scaling spend across multiple regions without sacrificing lead quality.

1 Year

Duration

fb & insta adds

Platform

canada, pk, UAE

Market

The Challenge

The brand faced three core challenges:

Multi-Market Cost Disparity

Balancing budgets and CPL across three regions without allowing high-cost markets to drain overall performance required precise segmentation and constant monitoring.

Maintaining Lead Quality at Scale

The challenge was to generate 130+ daily leads while ensuring they were genuinely interested in spine-related treatments, not accidental or curiosity-based submissions.

Creative Fatigue in a
Sensitive Niche

Pain management is a highly sensitive and repetitive advertising niche, where audiences quickly disengage from overused visuals and messaging.

Strategy & Execution

A Three-Pillar Approach to Sustainable Growth

Segmented Campaign Structure

  • Separate ad sets by country to control CPL and budget allocation
  • Service-specific creatives aligned with user pain points (Back Pain, Sciatica, Slipped Disc, Neck Pain)

High-Intent Lead Forms

Facebook Instant Forms optimized for:

  •  Minimal friction
  •  Medical relevance
  •  Strong CTA (“View All Treatments”)

Pre-filled fields to increase completion rate while maintaining intent

Creative Approach

  • Medical X-ray–style visuals to instantly signal healthcare credibility
  • Pain-focused messaging addressing mobility issues and daily discomfort
  • Clear service positioning as a Spine Center, not a generic clinic

Continuous Optimization

  • Daily monitoring of CPL by region
  • Pausing underperforming creatives quickly
  • Budget reallocation based on lead efficiency rather than impressions
  • Scaling winning ad sets once stable CPL was achieved

Results

$394,749 in attributed revenue

Across 12 months, the account delivered strong and sustainable growth:

what made this work:

Strong contribution from retargeting and DPA campaigns, sustaining profitability during seasonal shifts

$124476

Total Ad Spend

$1.17

Total Revenue Generated

Overall ROAS

Profitable Across all regions

Cost Per Purchase

Most importantly, performance remained profitable without aggressive budget increases, proving the structure was sustainable.

Key Takeaways

$394,749 in attributed revenue
Precise audience segmentation is critical in multi-country healthcare campaigns
Facebook Lead Forms can generate high-intent patient leads when structured correctly
Scaling is sustainable only when optimization decisions are data-led, not budget-led

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