Resource Center

How to Open a Med Spa

Your road map to opening a legally compliant, financially sustainable medical spa practice. From essential laws to business planning and training.

A “How to Open a Med Spa” checklist might look very different depending on where you are in the country. Medical spa treatments are often considered the practice of medicine, and state laws can vary greatly in how they regulate medical spas. While requirements differ depending on the treatments provided, there are common business best practices that can help any med spa succeed.

Though the path to success might seem complex, let this be both your starting point and your road map to the medical spa practice you’ve always wanted. Understand the most important med spa law concepts, learn the business practices that drive profitability, and get the training and resources you need to protect your practice and your patients.

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Step One

Essential Medical Spa Laws

Medical spas have become incredibly popular, offering treatments that make you feel glamorous and pampered. In many cases, however, these procedures also fall within the realm of medicine. As a result, medical spas are subject to many of the same regulations that govern other medical practices. As more people make med spas part of their lives, attention from regulatory agencies is only increasing.

Whether you’re interested in injectables like neuromodulators and fillers, energy devices such as lasers and body contouring, or treatments like thread lifts, microneedling, and IV therapy, it’s essential to know that these often carry legal requirements. The baseline of medical spa legal compliance focuses on three areas:

Who Can Legally Own a Medical Spa?

Physicians can own medical practices throughout the country. After that, things get complicated. The corporate practice of medicine doctrine restricts who can own practices, employ physicians, and receive payment for medical treatments. A Management Services Organization (MSO) offers a legal pathway for non-physicians.

Who Can Legally Diagnose Patients?

Whether it’s called the Good Faith Exam, the initial exam, or the initial patient consultation, seeing a patient and deciding on a treatment plan is defined as the practice of medicine. Only an MD, DO, NP, or PA can legally perform these assessments.

Who Can Legally Perform Treatments?

This question narrows into two buckets: who is allowed to do the procedure, and what kind of supervision does that person require. The answers vary widely by state and by treatment type.

Important: An RN cannot administer the Good Faith Exam without running the risk of criminal prosecution for the unauthorized practice of medicine. Understanding delegation rules in your state is critical.

Medical Spa Legal Summary

Get the answer to who can own a medical spa in your state, along with dozens of other med spa law questions. AmSpa Plus members also get access to the Treatment Delegation Table covering 21 treatments across six professional titles.

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Step Two

Medical Spa Business Practices

The prospect of starting up a new med spa business can seem overwhelming. Any new venture has dozens of components that nobody learns in training as a medical professional, and even for experienced entrepreneurs, there are unique challenges in the medical aesthetics space.

Making a Med Spa Business Plan

A business plan isn’t just an idea in your head. It is a detailed document laying out the specifics of your goals and how you are going to achieve them. Building a medical spa business plan involves detailed financial planning and understanding the numbers step by step.

Financial Planning Essentials
  • Pro-forma income statement
  • Pro-forma cashflow sheet
  • Pro-forma balance sheet
  • Yearly projections
  • Expense analyses
  • Supplies, product cost, and waste analyses
Tracking Medical Spa KPIs

Getting a lot of patients in the door doesn’t necessarily mean you will end the day with more money than you started with. Efficiency and profitability are key.

Key Metrics to Track
  • Net profit per treatment
  • Revenue per hour (per room and/or per provider)
  • Conversion rates from marketing channels
Hiring and Compensation

Building the right team is essential to providing great results, boosting retention, and generating revenue. Be intentional when bringing on new team members. With compensation structures, it’s important to incentivize your team, allowing them to share in the growth of the business.

Know Your Med Spa Laws
  • Paying Commissions in a Med Spa
  • Who Can Own a Med Spa?
  • Corporate Practice of Medicine
  • Physician Supervision
  • Good Faith Exams
  • Telemedicine for the Good Faith Exam
Build a Sustainable Business
  • Best Practices in Designing a Med Spa
  • The Financial Process for Opening a Med Spa
  • Business Planning: Step by Step
  • How to Hire and Recruit the Best Team
  • Three Strategies for Compensation
  • How Service Mix Predicts Success

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Step Three

Resources for Opening a Medical Spa

Med Spa Webinars

Free for AmSpa Plus members. Covering telemedicine, supervision and delegation, medical director contracts, patient privacy, and more.

  • On-demand library
Medical Spa Insider Podcast

Weekly stories from med spa owners and professionals. Topics include marketing strategy, real estate, HIPAA compliance, and financial data.

  • Available everywhere
Forms, SOPs and Templates

Created in partnership with ByrdAdatto to standardize your med spa practices and ensure legal compliance from day one.

  • 84+ templates
What’s Included in the Form Packages

24

Treatment SOPs

19

Consent Forms

16

Policies

11

Intake Forms

11

OSHA Forms

3

Safety Plans

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Step Four

Medical Spa Business and Legal Training

For more in-person and in-depth coaching on how to open a medical spa, attend one of AmSpa’s Medical Spa Boot Camps. Learn from experts with years of experience in the industry, connect with owners and practitioners just like you, and give yourself the best possible start. These two-day trainings help you:

  • Protect your business with industry-specific, time-tested strategies
  • Protect your license by outlining the basics of legal compliance

  • Protect your peace of mind by connecting you with a supportive network

  • Protect your patients with safe, legally compliant treatments every day

Medical Spa Boot Camps

Two days of deep-dive training on the business and laws of medical spas. Learn from experts, network with your peers, and connect with leading brands.

Virtual Boot Camp

Med spa legal and business education streaming directly to your screen. View sessions on-demand and reference the information for up to six months.

AmSpa Membership

Online legal references for your state, a free 20-minute compliance consultation with ByrdAdatto, member pricing for events, SOPs, forms, and more.