Best Plastic Surgery Practice Management Software In 2027

Last updated: November 12, 2026

The best plastic surgery practice management software for 2027 is Nextech for high-volume surgical practices that need deep EHR, billing and revenue cycle tools, PatientNow for practices that run surgery and a med spa side by side, and Symplast for surgeons who want a mobile-first system built specifically for plastic surgery. ModMed and Prospyr complete the top five.

Plastic surgery practices need more than a general medical EHR: operating room scheduling, consult tracking, before-and-after photos, quotes and deposits, financing and, in many practices, injectables and memberships on the same record. “Plastic surgery practice management software” has one of the highest cost-per-click rates in healthcare software, at about $65, which shows how much vendors compete for these practices.

At a glance

How we evaluated

We compared surgical scheduling and charting, photo management, consult and quote tracking, billing and revenue cycle support, CRM and patient engagement, med spa features, integrations (such as Alle and imaging systems) and how openly each vendor shares pricing. No vendor paid to be listed.

The 10 best plastic surgery practice management systems in 2027

1. Nextech

Nextech is the most widely deployed EHR in plastic surgery, with specialty templates, imaging integrations, inventory, practice management and revenue cycle services. Its med spa product is sold beside the surgical EMR and contracted separately.

• Best for: large practices with insurance and reconstructive work as well as cosmetic cases

2. PatientNow

PatientNow combines EMR, practice management, e-commerce and marketing for plastic surgery and aesthetics, with RxPhoto for before-and-after images and an optional AI receptionist. Surgery and med spa services live on one patient record.

• Best for: cosmetic-first practices with heavy ad spend and a med spa

3. Symplast

Symplast was founded by a plastic surgeon and is built mobile-first, with charting, scheduling, consent, financing and photo storage designed around aesthetic surgery.

• Best for: surgeons and teams who work from iPads and phones

4. ModMed (EMA)

ModMed offers its EMA EHR with plastic surgery specialty content, coding and billing support. It is strongest for groups that combine plastic surgery and dermatology.

• Best for: multi-specialty groups that want one vendor

5. Prospyr

Prospyr runs surgery scheduling with operating room time, consults, surgical charting, photos, injectables and memberships on one record, aimed at mostly cash-pay practices.

6. 4D EMR

4D EMR was built for plastic surgery first, with workflows designed around surgeon preferences.

7. Remedly

Remedly combines EMR, practice management and revenue cycle tools for smaller specialty and aesthetic practices.

8. Pabau

Pabau links surgical and aesthetic operations with booking, charting, consents, stock and payments, from about $104 a month.

9. AestheticsPro

AestheticsPro is cloud EMR and practice management software for med spas and cosmetic practices, with e-prescribing and HIPAA workflows.

10. Aesthetic Record

Aesthetic Record fits surgical practices with a large non-surgical injector team that needs detailed charting and photos at a published per-user price.

How to choose plastic surgery practice management software

• Map your service mix. If you run a med spa, pick a system that keeps surgical and non-surgical history on one record.
• Check surgical depth. Look for OR scheduling, pre-op clearance tracking and surgical templates.
• Check photo tools. Photo capture, comparison and consent tracking matter more in plastic surgery than in almost any other specialty.
• Ask about CRM. Consult-to-surgery conversion is where most revenue is won or lost.
• Get a full quote. Most vendors price per provider and add modules for marketing, RCM and patient engagement.

Frequently asked questions

What is the most widely used EHR in plastic surgery?

Nextech is the most widely deployed, followed by ModMed, PatientNow and Symplast.

How much does plastic surgery practice management software cost?

Most surgical systems are quoted after a demo and commonly run several hundred dollars per provider per month. Lighter aesthetic tools such as Aesthetic Record and Pabau publish lower starting prices.

Can one system handle surgery and a med spa?

Yes. PatientNow, Prospyr, Symplast and Pabau keep both on one patient record. Nextech offers a separate med spa product.

Related on ReVerb

See the Plastic Surgery Marketing hub, our list of the best plastic surgery CRM software and our Nextech vs PatientNow comparison.