Both matter, but they reward different things. Ask ChatGPT "which med spas do Botox in my city" and it lists a wide net — often six to eleven clinics, including small ones. Ask Google's AI Overview the same question and it names only one or two. So being listed in ChatGPT is closer to table stakes, while being named by Google's AI is the scarce, high-value win most clinics are missing.
The two engines behave very differently when a patient asks who to go to. When you ask ChatGPT "which clinics do Botox in [city]," it runs a broad search and hands back a long list — we routinely see six to eleven clinics named, including small independents that have done nothing special. Google's AI Overview is far more selective: for "how much does Botox cost in [city]" it commits to naming just one or two clinics. Same question, very different number of winners — and the two lists often barely overlap.
That changes where the real opportunity is. Don't treat "get listed in ChatGPT" as the finish line — you're probably already in that list, and so are ten competitors, so simply appearing there doesn't move the needle much. The two wins that actually do: being one of the one-or-two clinics Google's AI Overview names (genuinely scarce), and being the clinic ChatGPT leads with rather than buries at the bottom of its list. Both come from the same foundation — clear, current, well-corroborated information the engines can read and trust.
The practical move is to stop guessing and check both yourself: ask ChatGPT and Google's AI the exact question your patients ask, for your city, and see where you land in each — they disagree more often than you'd think. Our free scan and audit do this across ChatGPT, Perplexity, Gemini and Google's AI, so you know which engine you're already winning, which is leaving you out, and where the scarce, high-value spots are still open in your city.
See where your clinic stands
Check in 30 seconds whether AI names your clinic for treatments in your city — we work with only one clinic per city.
Related