The Spinoso Diary:
Daily Insights for Medical Entrepreneurs

In 2017, I was waking up in a 150 square foot bedroom in a house I shared with five strangers, grinding as a doctor for inmates in Nevada. Today, I wake up in suburban Dallas and run several 7 and 8 figure companies. I’m here to tell you – what I built, you can build. The purpose of this diary is to give you the real behind-the-scenes look at what I’m learning, wrestling with, refining, and experiencing as I grow. Every day, I’ll share the mindset shifts, the lessons, and the truths that are shaping my life and my businesses. It’s time to stop waiting for permission – and start taking ownership.

Alex Spinoso
med spa growth expert

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success you actually want

Success You Actually Want

Are you living your own life or chasing someone else’s script? Dr. Alex Spinoso on why choosing your own definition of success matters more than the highlight reel.

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success you actually want

Success You Actually Want

Are you living your own life or chasing someone else’s script? Dr. Alex Spinoso on why choosing your own definition of success matters more than the highlight reel.

Read More »

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Dr. Alex Spinoso talks about how to start a med spa
How to Start a Med Spa in 2026: A 10-Step Operator Checklist (From an Operator Running 20+ Clinics)
Opening a medical spa is one of the better moves in healthcare right now, if you do it in the right order....
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The Most Profitable Med Spa Services in 2026 (Ranked by an Operator Who Runs Them)
Every med spa owner asks me this the same way. Which services bring in the most money? Wrong number to...
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Med Spa Business Plan
Med Spa Business Plan Template: The One I Use to Run 18 Clinics
A business plan you write once and file away is dead paper. I’ve watched it happen in clinic after...
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the strength of many roles
The Strength of Many Roles
Most of you have never heard of Aurora. She’s a Marvel character from Alpha Flight. Superhero. Fast....
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Strength Between the Battles
No real "off" switch when you're juggling work and family? Discover why loosening the armor, not removing...
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Criticism Is Proof You’re Moving
Think of any consequential person you can think of. A president like Eisenhower. A novelist like Ernest...
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