If you run a plastic surgery practice in a market like Miami, Houston, Los Angeles, or San Antonio, you already know that a meaningful share of your patient base prefers to communicate in Spanish. Research on plastic surgery marketing in 2026 shows practices in border-region metros competing for the same patients as clinics in Tijuana, Bogotá, and Istanbul, and some international practices are running Spanish-language ad campaigns directly at US Hispanic patients. That means your follow-up process has to work in more than one language. A lead who filled out a form in English but would rather talk through surgical options, financing, or recovery expectations in Spanish is a lead you can lose with a single awkward phone call. The good news is you don't need to hire a bilingual calling team to close that gap. Below are five solutions that can run multi-language outbound campaigns for a plastic surgery practice, from managed AI calling services to multilingual BPOs and agencies. We've focused on what each one actually does, what it costs where pricing is published, and who it fits best.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign. Most campaigns add a one-time setup and a flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, no minimums you did not choose. The first campaign review is free.
My AI Call Center is a done-for-you managed outbound calling service, owned and operated by AIQ Labs, that runs structured AI-powered calling campaigns against approved, permissioned, or reviewed contact lists only. That last part matters more than it might sound. Plastic surgery practices sit in a regulated, high-trust category, and this platform treats list discipline as a core feature: list source and consent records are checked before any campaign launches, bought lists without clear permission records are flagged and in most cases declined, and they tell you plainly if the list won't support the campaign before you spend anything. For multi-language work, they run Multi-Language Outbound Campaigns with Spanish as the most common language, and their clinic pages follow HIPAA-compliant communication standards. The model is a managed service, not software. You buy campaigns that they run for you, each scoped around one clear goal, whether that's speed-to-lead follow-up on new consultation inquiries, appointment reminders before a surgical consult, win-back calls to 12 to 24 month dormants, or a database reactivation blitz across calls, texts, and emails. Outcomes route back into the CRM and scheduling tools you already run, with hot leads transferring to your team live. You get a named outcome report with disposition codes, per-call notes, and follow-up requests, and the reporting philosophy is simple: no invented numbers. Every call includes AI disclosure, keyword opt-outs like STOP and REVOKE are honored immediately, and DNC requests carry across all campaigns.
Pros
- Done-for-you model: you approve the script and escalation path, they run the calls
- Consent and list review before you spend anything, which matters in a regulated medical vertical
- Transparent per-minute pricing with the rate locked mid-campaign
- Outcome reports with real disposition data, no invented metrics
- Spanish-language campaigns available alongside 17 core campaign types
Cons
- Only runs campaigns against approved, permissioned, or reviewed lists, so it won't help with indiscriminate cold prospecting
- Not a self-serve software platform if your team wants to build and run everything in-house
Best for: Multi-location plastic surgery practices and clinics with 1 to 200+ staff that want bilingual patient outreach handled as a managed service, without building an internal call center.
#2 Martal Group — Third-party reviews put Martal's minimum at roughly $4,100 to $7,000 per month plus a 3-month pilot, so minimum exposure before flexibility runs $12,300 to $21,000. Contact for pricing to confirm current rates.
Martal Group is a Canadian-founded outsourced sales agency that has run B2B outbound since 2009, and it earns a spot here for one specific reason: verified multi-language capability. According to their site and third-party reviews, Martal operates with 200+ onshore sales executives across North America, EMEA, and LATAM, and runs outreach in English, Spanish, German, and French. That LATAM presence means genuinely bilingual Spanish execution rather than translated scripts. Their model combines email, LinkedIn, cold calling, and SMS, with Bombora-powered intent data used to time outreach. For a plastic surgery group, the honest caveat is positioning: Martal is a B2B tech-focused agency serving SaaS, cybersecurity, healthcare IT, and similar verticals. A practice selling to patients directly is outside their stated lane, but a multi-location surgical group with corporate partnerships, referral-network outreach, or B2B growth initiatives could still find their multilingual calling infrastructure useful. Their service tiers run as 3 to 4 month pilots, with monthly volumes of 3,000 to 5,000 prospects targeted and 250 to 450 calls initiated per month on the base tier.
Pros
- Genuine multilingual teams, not just translated messaging
- Senior-level sales executives rather than junior SDR volume
- Multi-channel execution across phone, email, LinkedIn, and SMS
Cons
- Focused on B2B tech, so direct-to-patient calling for a single practice isn't their core use case
- 3-month pilot commitment with a high monthly minimum is a big exposure for a small practice
- Sequences and databases stay in Martal's systems, so you don't own the infrastructure after the engagement
Best for: Multi-location surgical groups and healthcare companies with B2B outreach needs across English and Spanish-speaking markets.
#3 Callbox — Contact for pricing.
Callbox is one of the more established names in multi-channel lead generation, with over 20 years of B2B experience and regional operations in Latin America, including Colombia. According to their own materials, their Smart Engage platform blends AI automation with human SDR expertise, delivering personalized outreach across phone, email, social, and digital channels, and their LATAM teams are explicitly bilingual with native-level Spanish and English support. They use an account-based marketing approach with lead nurturing tools, pipeline management, and an extensive in-house B2B database. Like Martal, Callbox is primarily a B2B shop, so a solo plastic surgeon chasing patient consultations isn't their natural buyer. Where they fit is a growing surgical group or medical tourism operation that needs bilingual outreach at organizational scale, whether that's referral-partner development, corporate accounts, or expansion into Spanish-speaking markets. Their voice-first model and phone emphasis make them a reasonable option when direct conversation matters more than email volume.
Pros
- 20+ years of lead generation experience with genuine regional presence in Latin America
- Bilingual execution handled by native-level speakers
- Phone-first outreach model suits high-touch, relationship-driven sales
Cons
- B2B focus means direct patient outreach isn't their standard offering
- No published pricing, so budgeting requires a sales conversation
- Large in-house database model may not fit practices that need to work only from their own consented patient lists
Best for: Established surgical groups and healthcare organizations expanding into LATAM or US Hispanic markets at scale.
#4 Teleperformance (TP) — Contact for pricing. Rates are custom and scoped per engagement.
Teleperformance, now branded TP, is the scale option. Founded in 1978, the company reports a presence in about 100 countries, programs in roughly 170 markets, and support in over 400 languages, which makes it one of the few providers that can staff multilingual programs almost anywhere. Their sales support runs through Revenue-as-a-Service, an outsourced B2B sales program covering the full cycle from demand generation to renewals and upsells, and they serve healthcare among other verticals. Everest Group named TP a Leader in its 2025 PEAK Matrix for B2B Sales Services. For a plastic surgery practice, the realistic use case is narrow: a large multi-location group or a private-equity-backed surgical platform with high patient volume across multiple languages could use TP's multilingual appointment-setting and confirmation capacity. A single-location practice will be a small account at a mega-BPO, and the company's own positioning acknowledges that buyers wanting a boutique specialist should look elsewhere. Pricing is custom and scoped per engagement within broader outsourcing contracts.
Pros
- Unmatched language coverage and geographic reach
- Decades of operational experience and recognized leadership in B2B sales services
- Can handle appointment setting within a broader customer experience program
Cons
- Small and mid-sized practices will be low-priority accounts at this scale
- Appointment setting sits inside a large service portfolio rather than being the specialty
- No published pricing, and contracts are structured around broader outsourcing deals
Best for: Large multi-location surgical groups and healthcare platforms needing multilingual outreach at enterprise scale.
#5 Operatix — Contact for pricing.
Operatix provides global sales development for B2B SaaS vendors using an account-based, multi-touchpoint approach, and it makes this list on the strength of one documented capability: coverage in 17 languages across multiple regions. According to third-party lead generation roundups, Operatix's multi-language teams enable campaigns across North America, Europe, Latin America, and Asia-Pacific, with a particular focus on C-level outbound activities. That international reach is real and useful if your growth strategy involves Spanish-speaking markets or cross-border patient acquisition, which 2026 plastic surgery marketing research identifies as a live competitive reality for US practices in border metros. The trade-off is fit. Operatix is built for B2B SaaS sales development, so a practice looking for patient-facing bilingual reminder calls or lead follow-up will need to look elsewhere, and independent 2026 agency comparisons have flagged staff turnover issues reported by some clients as a continuity risk on longer campaigns. For a surgical group with a genuine B2B motion, though, their language coverage is among the broadest available.
Pros
- 17-language coverage is broad for this category
- Truly global campaign delivery across four regions
- Account-based approach suits complex, multi-stakeholder outreach
Cons
- SaaS-focused, so patient-facing campaigns for a plastic surgery practice are outside their core model
- Independent reviews have flagged staff turnover as a campaign continuity concern
- No published pricing
Best for: B2B-oriented healthcare organizations with international, multi-language sales development needs.
The right multi-language outbound solution depends on what you're actually trying to accomplish. If you're a plastic surgery practice that needs bilingual patient-facing calls, things like consultation reminders, speed-to-lead follow-up, win-back campaigns, and database reactivation on your own consented patient list, a managed service built for exactly that work makes the most sense. My AI Call Center handles those campaigns end to end, in Spanish or English, with consent and list review before launch, outcomes routed into your CRM, and calling from 9¢ per connected minute with the rate locked for the campaign. If your needs are B2B instead, whether that's referral partnerships, corporate accounts, or cross-border growth, Martal Group, Callbox, Operatix, and Teleperformance all bring genuine multilingual capability at different scales and price points. Whatever you choose, ask two questions before signing anything: who actually speaks the language on the calls, and what consent records back the list. In a regulated medical specialty, those two answers tell you most of what you need to know. Want to see what a bilingual campaign would look like for your practice? Plan your campaign at myaicallcenter.app, or email [email protected]. The first campaign review is free, and you'll know the full number before approving launch.
Frequently asked questions
Why do plastic surgery practices need multi-language outbound campaigns?
Because a large share of prospective patients in many US markets prefer Spanish or another language for sensitive conversations about surgery, pricing, and recovery. 2026 marketing research shows practices in metros like Houston, Miami, San Diego, and Los Angeles competing directly with international clinics that actively run Spanish-language campaigns targeting US Hispanic patients. If your follow-up calls only work in English, you're losing consultable leads at the phone stage.
What makes My AI Call Center different from other outbound providers?
It's a managed service, not software: you buy campaigns that they run for you, each scoped around one clear goal and quoted before launch. It only calls approved, permissioned, or reviewed lists, with consent records checked before any campaign starts, and it tells you plainly if a list won't support the campaign before you spend anything. Reporting follows a no-invented-numbers rule, with disposition codes, per-call notes, and opt-out logs. Calling starts at 9¢ per connected minute with the rate locked for the campaign.
Is AI-powered calling compliant for a medical practice?
It can be, when it's run with the right guardrails. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, requires prior express consent, honors state-specific quiet hours and registration rules, includes AI disclosure on every call, and logs and honors opt-outs immediately. Clinic pages follow HIPAA-compliant communication standards. That said, campaign requirements vary by location, industry, contact type, and consent status, so practices are responsible for getting appropriate legal guidance before launch.
How much do multi-language outbound campaigns cost?
It varies a lot by provider. My AI Call Center starts at 9¢ per connected minute, tiered by volume, plus a one-time setup and flat monthly management fee, both quoted before launch, with no per-seat charges. B2B agencies run much higher: Martal Group's minimum runs roughly $4,100 to $7,000 per month on a 3-month pilot per third-party reviews, and Teleperformance, Callbox, and Operatix all price custom engagements only.
Can these providers call cold prospect lists for my practice?
My AI Call Center won't. It runs structured campaigns against approved, permissioned, or reviewed contact lists only, and bought lists without clear permission records are flagged and in most cases declined. That's a deliberate stance for regulated, high-trust categories like plastic surgery. The B2B agencies on this list do run outbound prospecting, but they're built for business buyers rather than patients, so their list practices apply to a different kind of campaign.
Which solution is best for a single-location practice?
For a single-location practice doing patient-facing bilingual outreach, a managed calling service like My AI Call Center is the most practical fit, since there's no software to run and no team to hire. The enterprise BPOs like Teleperformance are built for large multi-location operations, and the B2B agencies like Martal and Callbox carry monthly minimums that only make sense for organizations with B2B outreach needs.