Case Study · Orthopaedic Surgery

20% More Patients, Zero Ad Spend

How we helped Dr Jonathan Negus, a Sydney knee surgeon, dominate the searches that matter most in his specialty — from “knee surgeon Sydney” to the questions patients ask months before they book.

Sydney + Central Coast SEO & AEO Patient-Journey Content Healthcare
+20%
growth in new patients
480
keywords on page one of Google
230
keywords ranked #1
193
Google AI Overview placements
The Problem

Patients Search Long Before They Book

Nobody wakes up and searches “knee surgeon”. They search “pain behind knee”, “meniscus tear symptoms”, “knee replacement cost Australia” — weeks or months before they’re ready to see a specialist. Those searches are dominated by giant health portals and hospital groups, and most surgeons’ websites never compete for them.

That leaves a specialist practice dependent on GP referrals and word of mouth, with no way to reach the patient who is quietly researching their own knee. The surgeon who answers those questions first is the surgeon that patient asks to see.

What We Did

Own the Whole Patient Journey

01

Symptom Content First

We built pages answering the searches patients actually start with: pain behind the knee, clicking and locking, knee pain at night, morning knee pain. These now rank #1 for terms like “ache behind knee” (1,600 searches a month) and “back of knee hurts”.

02

Condition and Procedure Depth

Every condition Dr Negus treats has a dedicated page — meniscus tears, knee arthritis, patellofemoral pain — feeding into procedure pages for knee replacement, reconstruction and arthroscopy. “Meniscal rupture” ranks #1; “meniscus” ranks #2 against 8,100 monthly searches.

03

The Cost Conversation

Cost searches signal a patient close to deciding, and most surgeons avoid the topic. We answered it head-on. The practice now holds page one for the entire cluster: “knee replacement surgery cost”, “knee replacement cost Australia”, “knee surgery cost” and more.

04

Built for AI Answers Too

Search has split in two: Google and AI engines. The same structured, clinically accurate content now appears in 193 Google AI Overviews, so when a patient asks AI about their knee, Dr Negus is the name in the answer.

A patient who read your explanation of their meniscus tear, what surgery involves and what it costs has already chosen you. The consultation just confirms it.

The Rankings

Dominating the Commercial Keywords

These are the searches a knee surgeon’s practice is built on — high intent, close to booking, and fought over by every clinic and hospital group in the market. Current positions, from live ranking data:

KeywordPositionSearches / Month
knee arthroscopy sydney#170
knee specialist#5170
best knee surgeon in sydney#850
knee surgeons sydney#970
orthopedic surgeon central coast#9110
knee specialist sydney#10170
knee replacement surgery cost#7590
knee replacement cost australia#8–9520 combined

Positions from an organic rankings export (Australia), August 2026. Search volumes are monthly averages. Rankings move; these reflect the date of the export.

Behind the commercial terms sits the volume: 1,290 keywords ranking in total, 269 in the top three, and page-one positions on high-volume patient searches like “meniscus” (8,100/month), “meniscal rupture” (2,400/month) and “pain behind knee” (1,600/month).

The Results

A Practice That Compounds

  • 20% growth in new patients, generated organically — no ad spend, no bought leads, no dependence on referral flow alone.
  • 480 page-one keywords, 230 at #1. The practice owns its specialty’s search landscape from first symptom to final decision.
  • 193 AI Overview placements. As patients shift from Google to AI answers, the practice is already the cited source, not the one catching up.
  • An asset that keeps working. Every ranking earned keeps producing enquiries month after month, while a paid campaign would stop the day the budget did.
MAP Group

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