If your plastic surgery practice sits in a metro like Miami, Houston, San Diego, or Los Angeles, a meaningful share of your patient base prefers Spanish, and some of them will never book a consultation if the first phone call happens in English. That's a real revenue problem, not a nice-to-have. The tricky part is that outbound calling in healthcare carries rules: consent records, TCPA requirements for AI voices, quiet hours, and opt-out handling. Blasting a bought list in two languages doesn't fix anything; it creates legal exposure. What works instead is structured, permissioned outreach where each campaign has one clear goal, whether that's confirming a consultation, reactivating dormant patients, or qualifying new leads, delivered in the language the patient actually speaks. We compared five solutions that can run multi-language outbound campaigns for plastic surgery practices in 2026. They range from managed AI calling services to global BPOs and multilingual lead-gen agencies, so you can match the option to your practice size, budget, and compliance comfort level.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume, with the rate locked before launch. Most campaigns add a one-time setup and a flat monthly management fee, both quoted before launch. 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 out of Halifax, Nova Scotia with a US operating base in Austin, Texas. The model is simple to understand: you don't buy software and figure it out yourself. You buy campaigns that they run for you, each scoped around one clear goal and quoted in full before anything launches. For a plastic surgery practice with a bilingual patient base, the relevant campaign type is their Multi-Language Outbound Campaigns offering, with Spanish as the most common language requested. The same campaign engine also handles appointment reminders, speed-to-lead follow-up (new leads called within minutes inside approved windows, with after-hours leads queued for the next business day), win-back calls to 12 to 24 month dormants, and renewal or retention outreach. What makes it our Editor's Choice is the list discipline. Every campaign runs against approved, permissioned, or reviewed contact lists only. List source and consent records are checked before launch, and bought lists without clear permission records are flagged and, in most cases, declined. They tell you plainly if the list won't support the campaign, before you spend anything. That matters more in plastic surgery than in most industries, because you're calling patients about elective procedures and the compliance stakes are high. Their clinic work follows HIPAA-compliant communication standards, AI voices are treated as artificial voices under the TCPA with prior express consent required, every call includes AI disclosure, and keyword opt-outs like STOP are honored immediately and carried into your DNC records. Outcomes route back into your existing CRM and scheduling tools, with hot leads transferred live or landed in your CRM. You get a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests. And their reporting philosophy is blunt: we report what actually happened, with no invented numbers, logos, testimonials, or metrics.
Pros
- Managed service, not software: the campaign is run for you end to end
- List discipline is a selling point, not an afterthought; consent records checked before launch
- Transparent, locked pricing with no per-seat charges or surprise minimums
- HIPAA-compliant communication standards on clinic pages
- Full quote known before you approve launch; first campaign review is free
Cons
- Only runs against approved, permissioned, or reviewed lists, so practices relying on bought lists will be declined in most cases
- No self-serve software option if you want to run calls in-house
- Campaign requirements vary by location and industry, and clients are responsible for obtaining their own legal guidance before launch
Best for: Multi-location plastic surgery practices and clinics (1 to 200+ staff) that want bilingual patient outreach run for them, with consent-checked lists and compliance handled up front.
#2 Martal Group — Third-party reviews and Clutch project data place minimums around $4,100 to $7,000 per month with a 3-month pilot commitment. Martal does not publish an exact rate card; contact for pricing.
Martal Group is an outsourced sales agency founded in 2009 by Vito Vishnepolsky, originally in Oakville, Ontario. It runs multi-channel outbound across email, LinkedIn, cold calling, and SMS, and the detail that earns it a spot on this list is its verified multi-language capability: English, Spanish, German, and French, with 200+ onshore sales executives across North America, EMEA, and LATAM. According to their site and third-party reviews, they lean on Bombora-powered intent data to time outreach to active buying signals rather than blasting static lists. Their service tiers run from Outbound Lead Generation (a 3-month pilot targeting 3,000 to 5,000 prospects monthly, 20 to 30 qualified leads) up to a Full-Service tier that adds post-sale account management. For a plastic surgery group expanding into Spanish-speaking patient markets, Martal's bilingual SDRs and LATAM presence are a genuine fit, though the company's case study history is concentrated in B2B tech, cybersecurity, fintech, and healthcare IT rather than consumer healthcare. Their Clutch profile shows 4.8/5 across 108 verified reviews, and they hold a Clutch Champion designation. Be aware that the 3-month pilot is not negotiable and third-party reviews place minimums around $4,100 to $7,000 per month, which is a real commitment for a single-location practice.
Pros
- Verified multi-language capability with onshore reps in the relevant regions
- Intent-data timing means calls are matched to buying signals rather than dialed blind
- Strong independent review base (4.8/5 across 108 Clutch reviews)
- Senior-rep conversation quality rather than junior-SDR volume
Cons
- Case study history is concentrated in B2B tech and healthcare IT, not consumer plastic surgery
- 3-month pilot minimum with roughly $12,300 to $21,000 minimum exposure before flexibility
- Sequences, prospect databases, and playbooks stay in Martal's systems, so you don't own the infrastructure afterward
Best for: Mid-market and multi-location organizations that need simultaneous English and Spanish outreach and can commit to a multi-month pilot.
#3 Callbox — Contact for pricing.
Callbox is one of the most established lead generation companies operating in Latin America, with regional operations in Colombia and over 20 years of B2B experience. According to their own materials, their Smart Engage platform blends AI automation with human SDR expertise to deliver personalized outreach across phone, email, social, and digital channels, and their bilingual teams are a specific selling point for companies targeting both US and Latin American markets. For a plastic surgery practice in a heavily Hispanic metro, that bilingual phone-first model maps reasonably well to patient outreach: their outreach spans telemarketing, email, and social media in synchronized campaigns, with lead nurturing tools, pipeline management, and database management included. They work with SaaS, fintech, and manufacturing firms primarily, so consumer healthcare isn't their home vertical, but the mechanics of bilingual calling campaigns transfer. Their LATAM positioning emphasizes native-level Spanish and English support and consistent reporting, which matters when you need to verify that Spanish-language calls actually happened and what the outcomes were.
Pros
- Genuinely bilingual teams with a LATAM delivery center, not translated scripts
- Phone-first model suits patient outreach where a live conversation converts
- Integrated multi-channel campaigns rather than single-channel blasts
- 20+ years of experience and consistent reporting cadence
Cons
- Core client base is B2B (SaaS, fintech, manufacturing), not consumer healthcare
- Pricing is not published, so you'll need a scoping call
- Healthcare-specific compliance details like TCPA consent handling aren't prominent in their public materials
Best for: Practices targeting Spanish-speaking patient markets that want a bilingual, phone-first outreach team with regional LATAM presence.
#4 Teleperformance (TP) — Contact for pricing. Rates are custom and scoped per engagement.
Teleperformance, now branded TP, is a global digital business services company founded in 1978. It reports a presence in about 100 countries, programs in roughly 170 markets, and support in over 400 languages, which makes it the scale option on this list for multilingual outreach. Its B2B sales support runs through Revenue-as-a-Service, TP's outsourced sales program covering the full sales cycle from demand generation to renewals and upsells, with vertical coverage that includes healthcare alongside technology, financial services, retail, and manufacturing. Everest Group named TP a Leader in its 2025 PEAK Matrix for B2B Sales Services. For a large, multi-location plastic surgery group or a private-equity-backed surgical network that needs multilingual appointment setting and patient outreach across many markets at once, TP is one of the few vendors that can genuinely staff that. The honest caveat is that appointment setting sits inside a much broader service portfolio. If you run a single practice or a small group, you'll be a small account at a giant vendor, and the pricing is custom and scoped per engagement with no published rates. Buyers wanting a boutique, specialist relationship should look elsewhere on this list.
Pros
- Unmatched language coverage (400+ languages) and geographic reach
- Can staff large programs quickly across many markets
- Healthcare vertical frameworks and compliance experience at enterprise scale
- Full-cycle service from demand generation through renewals
Cons
- Appointment setting is one service inside a much larger portfolio, not the specialty
- Not a fit for small businesses or startups needing flexible, short-term support
- No published pricing; contracts are scoped per engagement
Best for: Large multi-location surgical groups and global brands needing multilingual outreach at serious scale.
#5 SalesNash — Starting price around $3,000 per month, per Belkins' comparison of cold calling companies. Contact for exact pricing.
SalesNash appears in Belkins' comparison of cold calling companies as the multilingual and international expansion pick, with human-led calling from regional teams and a starting price around $3,000 per month, the lowest entry point among the human-led agencies in that comparison. According to that research, SalesNash runs human-led calling with regional teams, which means native speakers place the calls rather than an AI voice or a single-language offshore floor. For a plastic surgery practice testing bilingual outbound for the first time, that lower entry price matters: you can validate whether Spanish-language patient outreach moves the needle before committing to a Martal-scale pilot. The trade-off is transparency. SalesNash has a smaller public footprint than the other names on this list, with fewer published case studies, named clients, or independent review data available in the research we reviewed, so you'll want to do your own diligence on references, script approval, and how they handle consent and opt-outs before signing. Their positioning is international expansion generally, not healthcare specifically, so bring your own compliance requirements to the conversation.
Pros
- Lowest starting price among the human-led agencies in Belkins' comparison
- Human callers with regional language fluency
- Reasonable entry point for a first bilingual campaign
Cons
- Smaller public footprint, with fewer published case studies and independent reviews than larger rivals
- Positioned for international expansion generally, not healthcare or plastic surgery specifically
- Compliance details like TCPA consent handling aren't documented in available research
Best for: Practices testing multilingual outbound at a lower entry cost before committing to a larger program.
The right multi-language outbound solution for your practice comes down to two questions: who places the calls, and what happens to the patient data. If you're a single or multi-location plastic surgery practice calling permissioned patient lists in Spanish, My AI Call Center is the strongest fit because the whole model is built around exactly that: consent-checked lists, one clear goal per campaign, AI disclosure and opt-out handling on every call, HIPAA-compliant communication standards, and outcome reports that show what actually happened. Calling starts at 9¢ per connected minute with the rate locked before launch, no per-seat charges, and the first campaign review is free. Larger groups with genuinely global needs should also shortlist Teleperformance for scale and Martal Group for bilingual B2B-style outreach, while Callbox and SalesNash suit practices testing Spanish-language calling at different budget levels. Whichever you choose, ask the same three questions before signing: how is consent verified, who approves the script, and what exactly gets reported. If you want a campaign scoped and quoted before you spend anything, email [email protected] or start with the Plan My Campaign funnel at myaicallcenter.app.
Frequently asked questions
What makes My AI Call Center different from other outbound calling services?
It's a managed service, not software. You buy campaigns that they run for you, each scoped around one clear goal and fully quoted before launch. The bigger difference is list discipline: only approved, permissioned, or reviewed lists get called, list source and consent records are checked before launch, and bought lists without clear permission records are usually declined. They tell you plainly if the list won't support the campaign before you spend anything. On the reporting side, they commit to reporting what actually happened, with no invented metrics, logos, or testimonials, and every call includes AI disclosure with immediate opt-out handling.
How much does My AI Call Center cost?
Calling starts at 9¢ per connected minute, tiered by volume, and the rate is agreed before launch and doesn't move mid-campaign. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch. There are no per-seat charges, no platform bill, and no minimums you didn't choose. The first campaign review is free, and the full number is known before you approve launch.
Can AI voices legally call plastic surgery patients?
Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is required before calling. Reputable providers, including My AI Call Center, treat this as a hard requirement: consent records are reviewed before any campaign launches, state-specific quiet hours and day restrictions are honored, AI disclosure is made on every call, and recipients can ask for a human or opt out. Requirements vary by location, contact type, and consent status, so practices should get their own legal guidance before launch.
Which languages do multi-language outbound campaigns support?
It depends on the provider. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most common language requested. Martal Group supports English, Spanish, German, and French. Callbox offers native-level Spanish and English (with Portuguese for Brazil in its LATAM programs). Teleperformance reports support in over 400 languages. For most US plastic surgery practices, Spanish is the language that moves the needle first.
Can these services call a list I bought from a data broker?
Most likely not, and that's a good thing. My AI Call Center explicitly flags bought lists without clear permission records and declines them in most cases, because calling them creates TCPA exposure for your practice. Their model is built around approved, permissioned, or reviewed lists, meaning patients who have a real relationship with your practice or documented consent. If a provider happily calls any list you hand over without asking about consent records, treat that as a red flag, not a convenience.
What campaign types work best for plastic surgery practices?
The highest-value campaigns are usually speed-to-lead follow-up (new consultation inquiries called within minutes inside approved windows), appointment reminders to reduce no-shows for surgical consults, win-back and reactivation calls to patients dormant for 12 to 24 months, and lead qualification to route hot prospects to your front desk. All of these run well in Spanish through multi-language campaign types, and outcomes can route directly into your existing CRM and scheduling tools.
How do I know the reported results are real?
Ask what the deliverable looks like before launch. My AI Call Center provides a named outcome report with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, follow-up requests routed to your team, a completion and coverage report, and opt-out and DNC logs. Their stated policy is that they never invent client logos, testimonials, metrics, or ratings. With any provider, insist on disposition-level reporting rather than summary claims, and confirm that opt-outs are logged and honored immediately across all campaigns.