A brick-and-mortar (B&M) surgical practice is a permanent veterinary surgical facility designed to provide specialty surgical services within a dedicated physical location, rather than through a fully mobile model.

Unlike mobile surgery, a B&M surgical practice allows veterinary surgeons greater control over:

• surgical workflow

• scheduling

• staffing

• equipment

• client experience

• patient care protocols

• operational efficiency.

A well-designed B&M surgical practice can improve communication, streamline case flow, reduce inefficiencies, & create long-term enterprise value through practice ownership and equity.

For many veterinary surgeons, transitioning to a brick-and-mortar or a “hybrid” surgical practice represents an opportunity to build a more scalable, sustainable, & intentionally designed professional model while maintaining a high standard of surgical care.

A PIVOT-type practice is designed around the idea that clinical excellence alone is not enough to create a sustainable surgical career.

Traditional surgical models often evolve reactively over time, leading to:

• inefficient workflows

• fragmented scheduling

• excessive administrative burden

• operational bottlenecks

• inconsistent client experiences

• financial underperformance despite high surgical production.

In contrast, a PIVOT-type practice is intentionally designed to prioritize:

• operational efficiency

• intelligent scheduling & case flow

• strong patient & client experience

• team culture

• financial clarity

• long-term sustainability.

The goal is not simply to perform more surgeries.

The goal is to build a veterinary surgical practice that functions more effectively, supports the surgeon’s long-term goals, & creates a better overall experience for patients, clients, referring veterinarians, and team.

PIVOT is designed for veterinary surgeons who are interested in building, optimizing, or transitioning into a high-performance brick-and-mortar surgical practice.

This includes:

• associate surgeons exploring practice ownership

• mobile surgeons considering a transition to a permanent facility - part or full-time

• existing practice owners seeking greater efficiency and profitability

• surgeons interested in improving workflow, scheduling, & operational systems

• professionals looking for a more sustainable long-term practice model

PIVOT is particularly valuable for surgeons who recognize that the structure & design of a practice can significantly impact:

• efficiency

• profitability

• work-life integration

• client experience

• team satisfaction

• long-term career sustainability.

The community is intended for thoughtful, growth-oriented surgeons who value both clinical excellence and intelligent practice design.

Yes.

PIVOT offers coaching and strategic guidance for mobile veterinary surgeons who are exploring whether a transition to a brick-and-mortar surgical practice may align with their professional or personal goals.

The coaching process is not focused on pushing surgeons toward ownership for its own sake.

Instead, the goal is to help surgeons think more clearly & strategically about:

• practice structure

• operational efficiency

• financial considerations

• scheduling models

• growth opportunities

• staffing

• facility planning

• long-term sustainability

• exit strategies.

For some surgeons, optimizing an existing mobile model may be the right solution.

For others, building or joining a B&M surgical practice may create greater long-term alignment, efficiency, & stability.

PIVOT coaching is designed to help surgeons evaluate those decisions thoughtfully and avoid costly mistakes during the transition process.

Not only.

PIVOT is not traditional business coaching in the generic sense.

PIVOT focuses specifically on the operational, structural, & strategic realities of veterinary surgical practice, particularly for surgeons exploring practice ownership, workflow optimization, & brick-and-mortar or hybrid practice models.

The emphasis is on practical discussion, thoughtful strategy, operational efficiency, & long-term sustainability rather than motivational business coaching or high-pressure growth tactics.

A PIVOT retreat is a unique, small-group experience, designed for veterinary surgeons who want dedicated time away from daily clinical demands to think strategically about their practice, career, & long-term goals.

The retreats combine:

• high-level discussion

• collaborative problem-solving

• operational and business conversations

• community building

• reflection

• all in a carefully selected environment conducive to meaningful discussion

Topics include:

• surgical practice ownership

• workflow optimization

• operational efficiency

• leadership

• scheduling systems

• team culture

• financial clarity

• long-term practice sustainability

• exit strategies.

Unlike traditional continuing education events, the goal of a PIVOT retreat is not simply to deliver information.

The goal is to create space for thoughtful discussion, perspective, strategic planning, & meaningful connection with other veterinary surgeons navigating similar challenges and opportunities.

PIVOT was developed through over 25 years of experience observing & working in diverse veterinary surgical practice models, including mobile & brick-and-mortar environments.

Phil has also written over 300 columns, articles and blogs about management & leadership, in addition to lectures & workshops on similar topics.

The coaching & community are informed by real-world experience with:

• surgical workflow

• operational efficiency

• scheduling systems

• practice structure

• client experience

• financial considerations

• and the practical realities of veterinary surgical practice.

PIVOT is not built around generic business theory, fluff, or one-size-fits-all advice.

The goal is to facilitate thoughtful discussion, strategic thinking, & practical decision-making for surgeons interested in building more intentional and sustainable practice models.