# Built a Multi-Location Practice Without Losing Control ā€” Johnny Franco, MD (Ep. 349) Page: https://stenobird.com/podcast/beauty-and-the-biz-581032/built-a-multi-location-practice-without-losing-control-johnny-franco-md-ep-349 Text version: https://stenobird.com/podcast/beauty-and-the-biz-581032/built-a-multi-location-practice-without-losing-control-johnny-franco-md-ep-349.md Podcast: [Beauty and the Biz](https://stenobird.com/podcast/beauty-and-the-biz-581032) Published: 2026-02-13T16:38:00+00:00 Episode link: https://www.catherinemaley.com/podcast/built-a-multi-location-practice-without-losing-control-johnny-franco-md-ep-349/ Audio file: https://traffic.libsyn.com/secure/catherinemaley/Built_a_Multi-Location_Practice_Without_Losing_Control__Johnny_Franco_MD_Ep._349.mp3?dest-id=1247585 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/beauty-and-the-biz-581032/episodes/built-a-multi-location-practice-without-losing-control-johnny-franco-md-ep-349 Duration seconds: 3684 ## Resource šŸ“… Schedule Your Practice Growth Strategy Review āš™ļø Restart your practice in 7 days ā¬‡ļøā¬‡ļøā¬‡ļø Johnny Franco, MD, talks about how he built a multi-location cosmetic surgery practice without losing control. Hello and welcome to "Beauty and the Biz," where we'll discuss the business and marketing side of plastic surgery. As always, I'm your host, Catherine Maley, author of "Your Aesthetic Practice ā€“ What Your Patients Are Saying." and consultant to plastic surgeons, helping them get more patients and more profits. Built a Multi-Location Practice Without Losing Control Specifically, "Built a Multi-Location Practice Without Losing Control" podcast explains how practices grow without losing stability or profitability. Importantly, in this "Beauty and the Biz" episode, Dr. Johnny Franco shares how early infrastructure helped him scale safely. Additionally, he is a board-certified plastic surgeon in Austin, Texas. Moreover, he founded Austin Plastic Surgeon. Furthermore, he serves as clinical faculty at UT Dell Medical School. Indeed, this conversation focuses on real-world growth strategy rather than theory. Specifically, Dr. Franco discusses what happens inside expanding practices. Likewise, he explains how leadership decisions affect long-term control. Additionally, key discussion points include: Why adding locations is often harder than adding providers How missing SOPs create financial confusion and accountability gaps Why many practices delay building leadership and operations support How compensation structures influence ownership and culture The operational risk when everything funnels through one surgeon Importantly, one insight is simple. Namely, infrastructure works best when built early. Consequently, waiting often increases cost. Similarly, waiting usually increases cā€¦ ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/beauty-and-the-biz-581032/episodes/built-a-multi-location-practice-without-losing-control-johnny-franco-md-ep-349/transcription-requests` ā€” Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/beauty-and-the-biz-581032/built-a-multi-location-practice-without-losing-control-johnny-franco-md-ep-349.md` ā€” Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.