Has anyone actually gotten guaranteed conversions?

Lately, I keep seeing claims about healthcare ad campaigns that "guarantee" conversions, and it made me pause. As someone who manages smaller ad budgets and hates wasting money, I wanted to know if this was marketing fluff or something I could actually follow. So I started testing the idea like a curious amateur — not to prove a vendor right, but to see what real steps actually moved the needle.
The problem I had, and I’m guessing others do too, is confusion. One source says optimize for clicks, another says focus on leads, and compliance adds another layer of headaches. I ran campaigns that looked great on dashboards but produced lots of traffic and almost zero appointments. Worst part: my team and I would go back and forth about creative tweaks and targeting hacks without any real proof that they helped. That left me skeptical of any "guarantee" claim — guarantees feel like shortcuts for things that need steady work.
Personal Test and Insight
So here’s what I tried. I picked one service we offer that has a clear conversion action — booking a consultation — and ran three short tests over six weeks. First, I used broad targeting with flashy creative. Second, I tightened the audience and used clearer messaging about the benefit. Third, I added a simple follow-up step: automated SMS for people who filled out a form but didn’t book.
Results surprised me in two ways. The flashy creative brought a lot of clicks but almost no bookings. The tighter audience with honest, simple messaging had fewer clicks but more meaningful actions. The SMS follow-up didn’t feel glamorous, but it pushed a decent number of hesitant people to actually book. It wasn’t instant magic — it was small changes layered together that created a reliable pattern. What I learned is that "guaranteed conversions" in healthcare usually come from aligning the offer, the audience, and the follow-up, not from a single trick.
Soft Solution Hint
If you want to stop chasing mythical guarantees, try this practical approach: pick one clear conversion that matters for patients (booking, call, form completion), simplify the message so it exactly matches that action, and build a short follow-up flow for people who start but don’t finish. Also, test placements and ad copy side by side so you know what actually lands with your audience. For me, the combination of targeted messaging plus a low-effort follow-up was the most cost-effective.
Helpful Link Drop 
read a short guide that framed this well and helped me shape the tests I ran. It’s not a silver bullet, but it covers practical steps I could try immediately:  How to create healthcare ad campaigns that convert . That piece reinforced something simple I learned the hard way — guarantees aren’t about hype, they are about making small choices that reduce uncertainty.
Final Thoughts
I’m not suggesting everyone will get perfect results overnight. What changed for me was my mindset: instead of hunting for a guarantee from a vendor, I made a checklist — one conversion goal, a clear matching message, a tight audience, and a short follow-up. That process made my campaigns predictable enough that I stopped feeling like I was throwing darts in the dark.
If you’re experimenting, keep the tests simple and measure the patient actions that actually matter. I’d rather have fewer valuable conversions than thousands of uncertain clicks. If anyone else has tried a similar step-by-step test or uses a go-to follow-up flow, I’d really like to hear what worked for you.