The Paul Gough Show

Look — if you think Facebook and Instagram ads don’t work anymore… or that you need to spend thousands to make them work… you’re dead wrong.

In this episode, I hand the mic to one of the sharpest marketers on my team — Sarah Miller — the woman behind hundreds of my most successful ads over the last 10 years.

Sarah’s been working with me since 2014 — back when I was still in the UK running ads in a country where healthcare is free — and she’s now the brains behind many of the ad campaigns generating six-figure returns for clinics inside Planet Paul.

You’ll hear:

• Why Meta ads still work — even with small budgets like $300–$1,000
• The exact ad types that are generating 10x, even 50x ROAS for real clinics
• Why chasing “cheap leads” is a rookie move — and what to track instead
• How one clinic turned a $500 ad spend into £48,000 in potential value
• And the new quiz ads that are quietly exploding in performance

You’ll also hear how our team meets twice a week to review every ad, landing page, click-through rate, and conversion — because we’re not here to “boost and hope”… we’re here to get predictable, profitable results.

This episode is stacked with real numbers, real results, and real clinics — including some of you who were sat in the room at PPM Live.

So if you want to know what’s working right now, what to avoid, and how to actually turn ads into appointments, this episode is for you.

Let’s get stuck in.

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: https://www.facebook.com/ThePaulGough

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: https://www.paulgough.com/