AI never names 83% of med spas
in big US cities. That is your next client list.

The gap, city by city

The share of med spas never named by any of the four assistants, from our study of 25 US markets.

Med spas had the smallest gap of the five industries in the study, and it was still more than four in five in every city.

Why this is an opening for your agency

People choosing a med spa are asking about specific treatments and who they can trust with them. That makes it a natural fit for AI questions, and for pages and reviews that describe each treatment clearly.

• You have a reason to call. "AI recommends these three med spas in your city, and not yours" is a stronger opener than another SEO pitch, because the owner can check it in a minute.
• Good businesses are the ones missing. 30% of the 20 med spas with 1,000+ Google reviews were never named. 371 med spas with 4.5+ stars and 100+ reviews were never named either. On average, 4.2 of the 10 most-reviewed in each city were left out. These owners already care about their reputation, so the gap is worth showing them.
• The work goes beyond the website. Only about 1 in 5 pages the assistants cited was the business's own site. The rest were lists, articles, directories and review sites. For med spas, the most-cited sites were Yelp (26.5% of answers), MedicalSpaLocator (26.5% of answers) and MedSpaScout (24.0% of answers). That is ongoing work you can deliver every month.
• One check in one assistant is not enough. 70.7% of the businesses they recommended were named by only one of the four, so clients need someone watching all of them.

With Seeably: the businesses AI overlooks in a market come as a ranked prospect list, strongest first, each with a ready-to-send audit showing the owner who AI recommends instead.

How to start this week

1. Scan one market you know. Pick med spas in a city you already work in, and see who AI names and who it leaves out.
2. Start with your existing clients. If they are missing, you have found a new service to offer. If they are named, you have good news to report and something to protect.
3. Send an audit to the strongest overlooked med spas. Lead with what AI says about them, not with what you sell.
4. Deliver and show progress. Work through the free AI visibility checklist, and check again regularly so the med spa owner can see the change.

With Seeably: on the Pro and Max plans, each audited business gets a fix kit with the work written out, and you can track clients over time with a progress page you can send them.

Frequently asked questions

Do clients really use AI to choose a local business?

45% of consumers now use AI to pick a local business, up from 6% a year earlier (BrightLocal, 2026). That is why clients have started asking their agencies about it: 66% of agencies say AI search is the top new service clients asked for this year (AgencyAnalytics, 2026).

What are AEO and GEO?

Answer engine optimization and generative engine optimization: the work of getting a business named when someone asks an AI assistant for a recommendation. For a local business it is the AI side of local SEO.

Does a med spa with lots of Google reviews get named anyway?

Not reliably. 30% of the 20 med spas with 1,000+ Google reviews were never named by any of the four assistants.

Do the results apply outside these five cities?

The study covers New York, Los Angeles, Chicago, Houston and Phoenix. For anywhere else, Seeably scans any niche in any city or area, so you see that market's own results.

What does Seeably cost?

The first market scan is free, with no card needed. Paid plans start at $99 a month, and fix kits and client tracking are on the Pro and Max plans.