# When the Surgeon Becomes the Bottleneck — Richard J. Brown, MD (Ep. 365)

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Text version: https://stenobird.com/podcast/beauty-and-the-biz-581032/when-the-surgeon-becomes-the-bottleneck-richard-j-brown-md-ep-365.md
Podcast: [Beauty and the Biz](https://stenobird.com/podcast/beauty-and-the-biz-581032)
Published: 2026-06-05T20:30:00+00:00
Episode link: https://www.catherinemaley.com/podcast/when-the-surgeon-becomes-the-bottleneck-richard-j-brown-md-ep-365/
Audio file: https://traffic.libsyn.com/secure/catherinemaley/When_the_Surgeon_Becomes_the_Bottleneck__Richard_J._Brown_MD_Ep._365.mp3?dest-id=1247585
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Duration seconds: 2897

## Resource

📕 Get Catherine's New Book: Plastic Surgery Practice Pearls 📅 Schedule a Practice Performance Audit ⬇️⬇️⬇️ Richard J. Brown, MD, shares from his experience on when the surgeon becomes the bottleneck in managing the practice. 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 – What Your Patients Are Saying." and consultant to plastic surgeons, helping them get more patients and more profits. When the Surgeon Becomes the Bottleneck How this plastic surgeon learned to delegate without losing control. Consequently, my latest "Beauty and the Biz" guest is Dr. Richard Brown, a board-certified plastic and reconstructive surgeon and founder of Brown Plastic Surgery in Scottsdale, Arizona. Moreover, Dr. Brown built his solo practice from the ground up after taking over for a retiring surgeon. Additionally, in this episode, he gets very candid about what it really takes to grow. Specifically, he discusses the challenges when you are the surgeon, owner, leader, producer, and visionary. Furthermore, we talked about the business side surgeons were never trained for, which includes several key components. First, we explore why the business side of practice is often the hardest part. Second, we compare the difference between an office manager and a COO. Third, we explain why every visionary surgeon needs a "who" to help execute the "how." Fourth, we share how to step out of daily staff drama without disconnecting from the team. Fifth, we reveal the expensive lesson he learned when he took his eye off the numbers. Ultimately, this is a great episode for any surgeon who wants to grow but knows they cannot keep managing every staff issue, idea,…

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