Case study · Orthopaedics · Vienna & Mödling

90× as many clicks on the surgery pages. No. 1 in AI answers.

Orthopaedic specialist in Vienna (1010) and Mödling, focusing on the elbow, shoulder and knee. Before, almost the only people who found him on Google were those who already knew his name.

Active · since October 2025

Result

1,390 clicks on surgery pages in Sep 2026

  • 90× clicks on surgery pages, Nov 2025 → Sep 2026
  • No. 1 in AI answers, 7 Sep – 7 Oct 2026
  • +48% more Google visitors than with ads, Nov 2025 → Sep 2026
Industry
Orthopaedics (elbow, shoulder, knee)
Location
Vienna (1010) & Mödling
Service type
Full service (done for you)

At a glance

Before. Approach. After.

01 · Before · November 2025

15 clicks a month on surgery & specialist pages

  • Found almost only by name
  • Only a few surgery pages
  • No tracking of enquiries

02 · Approach · Full service

  1. 01Strategy & new website
  2. 02A page for every operation
  3. 03Specialist pages for Vienna & Mödling
  4. 04Knee, trust & AI visibility

03 · After · September 2026

1,390 clicks a month on surgery & specialist pages

  • Over 90× as many as in Nov 2025
  • +567% clicks from Google overall
  • No. 1 in AI answers

Starting point · October 2025Today · October 2026

Found only by name. Invisible to everyone else. Found when people are looking for help. With a system.

Before · 2025

  • Found almost only by name
  • Position 32 on average for searches without his name
  • No pages for individual operations
  • Neither Search Console nor Google Analytics
Read moreShow less

When Dr Leo Pauzenberger came to us in October 2025, his professional credentials were excellent: an orthopaedic specialist with a habilitation, trained at the Medical University of Vienna, in Lund and in Cambridge, specialising in the elbow, shoulder and knee. On Google, however, almost the only people who found him were those who already knew his name.

In November 2025, just 5 clicks came from people searching for symptoms, an operation or a specialist. For searches like these, the website sat at position 32 on average – on page four, where hardly anyone looks. Almost three in four visits from Google came via paid ads.

On top of that, there were no pages yet explaining individual operations. And nobody measured what the website achieved. Search Console and Google Analytics have only been delivering data since 20 October 2025 – we set up both. Before that, the website was flying blind.

After · today

  • New website with a page for every operation
  • More Google visitors than when running ads
  • Almost 8 in 10 clicks on surgery and specialist pages
  • Named in AI answers more often than any other doctor
Read moreShow less

Today the most important operations each have their own page – from tennis elbow and shoulder replacement to the artificial kneecap. On top of that come pages for people looking for a specialist in Vienna and for the second practice in Mödling. Every page leads to booking an appointment.

In September 2026, 1,390 clicks landed directly on a page about an operation, a specialist or a therapy – in November 2025 it was 15. That is almost 8 in 10 clicks. For searches without his name, the website now ranks at position 13.2 on average instead of 32.1.

And all without an ad budget: in November 2025 there were 1,159 visits from Google, most of them via paid ads. In September 2026 there were 1,715 – almost all from regular Google search and 48% more than when running ads. Visits from unpaid search rose from 314 to 1,712, 5.5 times as many.

He has made it into AI answers too: from 7 September to 7 October 2026, Dr Pauzenberger ranked first among all doctors and clinics named by ChatGPT and Google’s AI answers. From 9 July to 7 October 2026 he was mentioned 265 times – at an average position of 1.9.

Old ortho-pauzenberger.at home page, October 2024, full page: photo, welcome text, specialties, contact and blog
Before: the website before the relaunch (Oct 2024)Hover to scroll yourself
New ortho-pauzenberger.at home page, October 2026, full page: “Ihr Orthopäde in Wien” (your orthopaedic specialist in Vienna), reviews, specialties, career, services and FAQs
After: the website today – two practices, reviews, FAQsHover to scroll yourself

Approach

Four steps to more revenue.

Clicks are only a step along the way. What counted were people looking for an operation or a specialist – and wanting an appointment.

  1. 01

    Strategy & new website

    Keyword research with an eye on the competition and a clear order: elbow, shoulder, knee. Plus the new website, with tracking from launch.

    Keyword strategy Relaunch Tracking

    First the procedures patients come for.

    Read moreShow less

    It started with a question: what do people search for before they have surgery – and how strong is the competition in Vienna for each of these searches? The result was a plan with a clear order: first operations on the elbow, then the shoulder, then the knee.

    At the same time, the new website was completed: since December 2025 the new home page and the page for the practice in Vienna (1010) have been online. Search Console and Google Analytics have been running since 20 October 2025, and tracking of form enquiries followed in December 2025. Visits from ChatGPT & co. show up in Analytics as a separate channel.

  2. 02

    A page for every operation

    One page per operation that answers the questions before surgery – first the elbow, then the shoulder.

    Elbow Shoulder Surgery pages

    Every page leads to booking an appointment.

    Read moreShow less

    From November 2025 to February 2026 the surgery pages went live: for the elbow, for example, tennis elbow, golfer’s elbow, torn ligaments, elbow replacement and biceps or triceps tendon rupture; for the shoulder, shoulder replacement, shoulder arthroscopy, calcific tendinitis, shoulder arthritis and the rotator cuff.

    Each page answers the questions patients ask themselves before an operation: when is it necessary, how does it work, how long does healing take? After the relaunch we moved all pages into the new design and linked them to each other. Today many of them rank right at the top – at position 1.1 on average for “Trizepssehnenruptur OP” (triceps tendon rupture surgery) and 1.4 for “Golfarm Operation” (golfer’s elbow surgery), July–⁠September 2026.

  3. 03

    Found locally: Vienna & Mödling

    Pages for searches like “Orthopäde 1010 Wien”, a second location in Mödling and well-maintained Google profiles.

    Vienna 1010 Mödling Google profile

    Found where patients look for a doctor.

    Read moreShow less

    People in pain often don’t search for the operation but for the right doctor nearby. So in early 2026 we built pages for exactly these searches: elbow, shoulder and knee specialist in Vienna, sports orthopaedic specialist, plus hip, hand, foot and spine. For “Orthopäde 1010 Wien” (orthopaedic specialist, Vienna 1010) the website now ranks at position 2.1 on average.

    In April 2026 the second practice in Mödling was added. We restructured the website for two locations – with separate pages for Vienna and Mödling, a shared appointment page and an optimised Google Business Profile. Listings in local directories and doctor portals strengthen this further.

  4. 04

    Knee, trust & AI visibility

    The knee, right up to the artificial kneecap, conservative therapies, a strong author profile – and content that ChatGPT & co. cite.

    Knee E-E-A-T GEO

    Recommended when patients ask AI.

    Read moreShow less

    From April 2026 the knee followed: meniscus, knee arthroscopy, cruciate ligament, cartilage transplantation, leg alignment correction, knee replacement, partial knee replacement and the artificial kneecap. For “künstliche Kniescheibe” (artificial kneecap) the website now ranks at position 2.8 on average – from 19 June to 5 October 2026 the page already brought in 733 clicks. Pages for conservative therapies such as shockwave therapy, injections and physiotherapy were added too.

    So that Google and AI systems can see who is behind the content, we added Dr Pauzenberger’s author profile as structured data: specialist qualification, habilitation, memberships, training and profiles. In medicine, this kind of trust is one of the most important factors for good positions in Google.

    Since summer 2026 we have also been measuring how often ChatGPT and Google’s AI answers recommend him. From 7 September to 7 October 2026 he ranked first there among all doctors and clinics mentioned.

Results

Numbers, not promises.

Real data from Search Console, Google Analytics, Semrush and Rankscale · as of October 2026

See real screenshots5

01Google search (SEO)

Clicks on surgery & specialist pages per month

1,390 clicks in September 2026

Over 90 times as many as in November 2025 (15 clicks).

1,500 750 0
15 1,390 in Sep

Source: Google Search Console · Surgery, specialist and therapy pages only

On surgery & specialist pages

79%

of clicks in Sep 2026 landed on surgery, specialist or therapy pages (Nov 2025: 6%).

Avg. Google position

13.2 before 32.1

Searches without his name, Nov 2025 → Sep 2026 – lower is better.

Online booking

62%

of clicks on the online booking came from Google search (Apr–⁠Sep 2026).

Source: Google Analytics

Google Search Console

From 15 to 1,390 clicks a month on surgery & specialist pages.

Sep 2026 vs. Nov 2025, these pages only: around 107,000 instead of 1,360 impressions, at an average position of 9.3 instead of 16.6.

Search Console: clicks on surgery & specialist pages, Sep 2026 (1,390) vs. Nov 2025 (15). Axis values hidden.

Semrush · Google Austria

Almost eight times as many search terms on Google.

Search terms in the top 100 in Austria: around 50 (30 Sep 2025) → 413 (30 Sep 2026). On page 1: 61 instead of 11.

Semrush, Google Austria: search terms in the top 100 positions, around 50 (30 Sep 2025) → 413 (30 Sep 2026), on page 1: 11 → 61.

Northstar Media dashboard

His numbers in our dashboard.

Clicks and impressions per month, Oct 2025 – Sep 2026. In Sep 2026: 1,782 clicks and 113,920 impressions – 21 times as many impressions as in Nov 2025.

Northstar Media dashboard: clicks and impressions from Google per month, October 2025 – September 2026. Axis values hidden.

High-intent searches in Vienna

Found when patients look for a specialist.

People searching like this want an appointment. Avg. Google position, Jul–⁠Sep 2026, with the Nov 2025 value in small type before it. Terms in German, as patients type them.

  • ellenbogen spezialist wienPos. 1.7
  • orthopäde 1010 wienPos. 2.1
  • ellbogenspezialist wienbefore 38.7Pos. 5.6
  • schulterspezialist wien alle kassenbefore 87Pos. 8.7
  • tennisarm spezialist wienbefore 44.1Pos. 9.3
  • tennisarm arzt wienbefore 33.4Pos. 9.6

Source: Google Search Console · November 2025 → July–⁠September 2026

02AI answers (GEO) · ChatGPT & Google AI

AI visibility · 9 Jul – 7 Oct 2026

Mentioned when patients ask ChatGPT & co.

  • No. 1among all doctors & clinics mentioned
  • 265mentions in AI answers
  • 1.9avg. position in the answer

Named in every answer, in first place every time (9 Jul – 7 Oct 2026). Questions translated from German:

  • “Who is the best elbow specialist in Vienna?”Google AI Mode 100%
  • “I need an elbow replacement (artificial elbow joint) – who is the best elbow surgeon in Vienna for this?”Google AI Mode 100%
  • “Torn elbow ligament after a fall – who is the best orthopaedic specialist in Vienna for this?”Google AI Mode & AI Overview 100%

Source: Rankscale · View ranking

Rankscale · 7 Sep – 7 Oct 2026

Rankscale, 7 Sep – 7 Oct 2026: ranking of doctors and clinics in ChatGPT and Google AI – Dr Pauzenberger in first place with 31.4% visibility (second place: 15.6%). Other names obscured.

No. 1 among all doctors and clinics in ChatGPT and Google AI: 31.4% visibility, the runner-up 15.6%. Other names obscured.

Real screenshots

  • Search Console: clicks on surgery & specialist pages, Sep 2026 (1,390) vs. Nov 2025 (15). Axis values hidden.

    Search Console: clicks on surgery & specialist pages, Sep 2026 (1,390) vs. Nov 2025 (15). Axis values hidden. Source: Google Search Console · As of 7 Oct 2026

  • Rankscale, 7 Sep – 7 Oct 2026: ranking of doctors and clinics in ChatGPT and Google AI – Dr Pauzenberger in first place with 31.4% visibility (second place: 15.6%). Other names obscured.

    Rankscale, 7 Sep – 7 Oct 2026: ranking of doctors and clinics in ChatGPT and Google AI – Dr Pauzenberger in first place with 31.4% visibility (second place: 15.6%). Other names obscured. Source: Rankscale · As of 7 Oct 2026

  • Rankscale: real patient questions to Google AI – Dr Pauzenberger with 100% visibility, including for golfer’s elbow and torn elbow ligaments (runs 30 Sep – 7 Oct 2026).

    Rankscale: real patient questions to Google AI – Dr Pauzenberger with 100% visibility, including for golfer’s elbow and torn elbow ligaments (runs 30 Sep – 7 Oct 2026). Source: Rankscale · As of 7 Oct 2026

  • Semrush, Google Austria: search terms in the top 100 positions, around 50 (30 Sep 2025) → 413 (30 Sep 2026), on page 1: 11 → 61.

    Semrush, Google Austria: search terms in the top 100 positions, around 50 (30 Sep 2025) → 413 (30 Sep 2026), on page 1: 11 → 61. Source: Semrush · As of 7 Oct 2026

  • Northstar Media dashboard: clicks and impressions from Google per month, October 2025 – September 2026. Axis values hidden.

    Northstar Media dashboard: clicks and impressions from Google per month, October 2025 – September 2026. Axis values hidden. Source: Northstar Media dashboard · As of 7 Oct 2026

Video · 1:53 · in German

How we turn visibility into revenue.

1:53

Real screenshots