If your practice serves a market like Miami, Houston, San Diego, or Los Angeles, you already know that a meaningful share of your prospective patients would rather talk in Spanish than English. The CSA Research survey of 8,709 consumers across 29 countries found that 75% of people are more likely to buy again when a company speaks to them in their native language, and 40% won't engage at all with content in another language. That matters a lot in plastic surgery, where procedures run $5,000 to $35,000 and trust drives every booking. The catch is that outbound calling in a regulated, HIPAA-sensitive specialty is harder than it looks. Consent records, quiet hours, AI disclosure rules, and do-not-call handling all have to be right before the first dial. This guide compares five solutions that can run multi-language outbound campaigns for plastic surgery practices in 2026, from fully managed AI calling services to multilingual human outbound agencies and large BPOs. We've focused on what each one actually does, what it costs where the numbers are public, and who it fits best.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume; one-time setup and flat monthly management fees quoted before launch. First campaign review is free.
My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service built around one idea: you buy campaigns that they run for you, each scoped to one clear goal and quoted in full before launch. For a plastic surgery practice, that means you don't buy seats on a dialer or train staff on software. You define what the call needs to accomplish, whether that's confirming a consultation, following up on a new lead within minutes, reminding a patient about a pre-surgical appointment, or reactivating dormant consults from 12 to 24 months ago, and the team quotes the whole campaign before anything goes live. The service is owned and operated by AIQ Labs, based in Halifax, Nova Scotia, with a U.S. operating base in Austin, Texas. Multi-language outbound campaigns are one of the 17 core campaign types, with Spanish the most common, which makes the service a natural fit for practices in heavily Hispanic metros. The part that separates it from most providers in this space is list discipline. Every campaign runs only against approved, permissioned, or reviewed contact lists, and the team checks list source and consent records before launch. Bought lists without clear permission records are flagged and, in most cases, declined. They'll tell you plainly if a list won't support the campaign before you spend anything. That matters in a specialty where a single TCPA misstep is expensive. Compliance is treated as a feature rather than an afterthought. AI voices are treated as artificial voices under the TCPA, so prior express consent is required. Every call carries AI disclosure, recipients can ask for a human or opt out, keyword opt-outs like STOP and REVOKE are honored immediately, and DNC requests carry across all campaigns. Clinic pages follow HIPAA-compliant communication standards. Outcomes route back into the CRM and scheduling tools you already run, with hot leads transferring live or landing in your CRM. You get a dispositioned contact list, outcome counts, routed follow-ups, a completion report, and opt-out and DNC logs. And the reporting philosophy is simple: they report what actually happened and never invent metrics. Calling starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign. The first campaign review is free.
Pros
- Done-for-you model means no dialer software, no SDR hiring, no per-seat costs
- Consent and list review happens before you spend anything, which protects you in a HIPAA-sensitive specialty
- Transparent, locked pricing with the full number known before approving launch
- AI disclosure, opt-out handling, and DNC logging built into every call
- Outcomes route directly into the CRM and scheduling tools your front desk already uses
Cons
- Not self-serve: you can't configure or launch campaigns yourself
- Built for structured campaigns with one clear goal, so it doesn't fit exploratory brand-awareness outreach
- Nothing launches until you approve scripts, lists, and escalation paths, which adds lead time
- Focused on North American markets (U.S. and Canada)
Best for: Plastic surgery practices and multi-location clinic groups (1 to 200+ staff) that want compliant multi-language outbound calling without building an internal call center, especially those serving Spanish-speaking patient bases.
#2 Martal Group — Third-party sources report roughly $4,100 to $7,000 per month with a 3-month pilot minimum; Martal does not publish its rate card. Contact for pricing.
Martal Group is an outsourced sales agency founded in 2009 that runs multi-channel outbound across email, LinkedIn, cold calling, and SMS. According to their corporate site and third-party reviews, they operate with more than 200 onshore sales executives across North America, EMEA (Germany, Denmark, and other European markets), and LATAM (Colombia, Argentina), and they offer multi-language capability in English, Spanish, German, and French. That language coverage is the reason they make this list: a practice trying to reach Spanish-speaking patients can work with Spanish-speaking human callers rather than translated scripts. Their methodology leans on Bombora-powered intent data covering 18,000+ topics to time outreach to active buying signals. Service tiers include Outbound Lead Generation (a 3-month pilot targeting 20 to 30 qualified leads per month across email, LinkedIn, cold calling, and SMS), Lead Gen plus Sales Onboarding, and a Full-Service tier with account management. For a plastic surgery practice, the honest caveat is that Martal is built for B2B tech and SaaS companies, so a patient-facing medical campaign would be outside their usual playbook. Their Clutch profile shows 4.8 out of 5 across 108 verified reviews. Pricing ranges reported by third parties fall around $4,100 to $7,000 per month with a 3-month pilot minimum, though Martal does not publish a rate card directly.
Pros
- Genuine multilingual human callers, not just translated scripts
- Long track record since 2009 with a 4.8 Clutch rating across 108 reviews
- Multi-channel execution across phone, email, LinkedIn, and SMS in one engagement
- Intent-data timing helps reach prospects when they're actively in market
Cons
- Positioned for B2B tech and SaaS, not consumer patient outreach
- 3-month pilot commitment means significant minimum exposure before flexibility
- No published pricing; rate card requires a sales conversation
- Campaign infrastructure stays in Martal's systems, not yours
Best for: B2B-focused organizations running multilingual outbound to business buyers, including medical practices selling to corporate or referral accounts rather than to patients directly.
#3 Callbox — Contact for pricing
Callbox is a lead generation agency with over 20 years of B2B experience and regional operations in Colombia, making it one of the more established names for Spanish-language outbound in the Americas. According to their website, their Smart Engage platform blends AI automation with human SDR expertise to deliver personalized outreach across phone, email, social, and digital channels. Their LATAM-focused offering emphasizes bilingual teams with native-level Spanish and English support, which is exactly what a practice in a border-region metro would need for patient outreach. Their model is account-based marketing with multi-channel touchpoints: telemarketing, email, and social media run in synchronized campaigns, backed by lead nurturing tools, pipeline management, and an extensive in-house B2B database. For plastic surgery practices, the same caveat applies as with most agencies on this list: Callbox's core market is B2B SaaS, fintech, and manufacturing, so a patient-facing campaign would be a custom engagement. Their strength is bilingual execution and consistent reporting, which clients value according to their published materials. Pricing is not published; you'll need to contact them for a scoped quote.
Pros
- Genuine regional presence in Latin America with bilingual SDRs
- Long-established agency with two decades of experience
- Coordinated phone, email, and social outreach in one program
- Strong pipeline management and reporting infrastructure
Cons
- Core focus is B2B, so consumer patient campaigns fall outside the standard playbook
- No published pricing
- Human SDR model costs more per conversation than AI-powered calling
- Extensive in-house database is B2B-oriented, not consumer patient lists
Best for: Companies targeting both U.S. and Latin American markets that want bilingual human-led outreach and coordinated multi-channel campaigns.
#4 Teleperformance (TP) — Contact for pricing; rates are custom and scoped per engagement
Teleperformance, now branded TP, is the scale option on this list. Founded in 1978, the company reports a presence in about 100 countries, programs in roughly 170 markets, and support in over 400 languages. If your practice group operates across multiple countries or needs multilingual appointment setting inside a broader customer experience program, TP is one of the few providers that can staff it at that scale. Everest Group named TP a Leader in its 2025 PEAK Matrix for B2B Sales Services. Their sales support runs through Revenue-as-a-Service, an outsourced program covering the full sales cycle from demand generation to renewals and upsells, with vertical coverage that includes healthcare alongside technology, financial services, and retail. For a plastic surgery group, appointment setting would sit inside a larger outsourcing contract rather than as a standalone campaign. That's the trade-off: unmatched language coverage and scale, but a relationship built for enterprises, not solo practices. TP does not publish rates, and pricing is custom and scoped per engagement. A boutique practice wanting one focused Spanish-language reminder campaign will likely find the fit awkward; a multi-country surgical group will find few alternatives with this reach.
Pros
- No other provider on this list matches the language and country coverage
- Decades of operational history and enterprise-grade compliance frameworks
- Healthcare is a named vertical with dedicated programs
- Full-cycle support from demand generation through renewals
Cons
- Built for enterprises; small and mid-size practices will be a small account
- Appointment setting comes bundled inside a larger outsourcing contract
- No published pricing
- Not a fit for practices wanting a single focused campaign
Best for: Large multi-country surgical groups and enterprises needing multilingual appointment setting at scale within a broader customer experience program.
#5 Hugo — From $11 per hour per agent, with onboarding, QA, training, workforce management, and a team lead included
Hugo is an outbound call center outsourcing provider that earns a spot here for its compliance posture and multilingual delivery. According to their site, Hugo runs fully managed dedicated teams across 60-plus languages, with agents trained for outbound-specific skills like lead qualification, retention, and appointment scheduling. Their compliance stack includes ISO 27001, SOC 2, HIPAA, GDPR, and CCPA certifications, and their workflows are built for the post-April 2026 FCC one-to-one consent environment, where consent must be obtained separately for each seller. For a plastic surgery practice, that HIPAA certification is worth noting since most general outbound agencies don't advertise it. Their outbound programs cover appointment and demo scheduling, retention and loyalty campaigns, market research, and blended inbound-outbound programs. Hugo emphasizes pre-campaign consent auditing, automated DNC scrubbing with opt-outs synced to the dialer within hours, and multi-mode dialer capability (predictive, progressive, and preview). Pricing starts at $11 per hour per agent with onboarding, QA, training, workforce management, and a team lead included. Dedicated teams launch in about two weeks and can scale with 24 hours' notice. The honest limitation: Hugo serves SaaS, fintech, e-commerce, health and wellness, and gaming clients, so a plastic surgery patient campaign would be a custom program rather than a templated one.
Pros
- HIPAA certification is rare among outbound BPOs and matters for clinic work
- Transparent starting price at $11 per agent hour with bundled services
- Compliance workflows built for the 2026 one-to-one consent rule
- 60-plus language coverage with dedicated, fully managed teams
Cons
- Human agent model costs more per conversation than AI-powered calling
- Plastic surgery is not a named vertical; expect a custom program
- Hourly pricing scales with headcount rather than campaign outcomes
- Two-week team launch is slower than a pre-built AI campaign
Best for: Practices and health-tech companies that need HIPAA-certified, multilingual outbound calling with dedicated human agents and compliance-first workflows.
Choosing the right multi-language outbound partner comes down to what you're actually buying. If you want campaigns run for you, with consent records checked before launch, AI disclosure on every call, outcomes routed into your CRM, and pricing locked at 9 cents per connected minute, My AI Call Center is the clear pick for plastic surgery practices. It's the only option on this list built around structured, permission-based calling with one clear goal per campaign, and the free first campaign review means you can scope the whole thing, including the full price, before committing to anything. Email [email protected] or start the Plan My Campaign funnel to define your goal, list volume, and consent records. If you need human bilingual SDRs for B2B-style outreach, Martal Group and Callbox are credible agencies with real Spanish-language capability. If you're a multi-country group, Teleperformance offers unmatched language coverage, and Hugo brings HIPAA-certified human teams at a published hourly rate. Whatever you choose, verify consent documentation before the first dial. In plastic surgery, one compliance misstep costs more than any campaign saves.
Frequently asked questions
What makes My AI Call Center different from other outbound calling solutions?
My AI Call Center is a managed service, not software. You buy campaigns that they run for you, each scoped to one clear goal and quoted in full before launch. The service only calls approved, permissioned, or reviewed lists, and the team checks list source and consent records before anything goes live. Bought lists without clear consent records are flagged and usually declined. Calling starts at 9 cents per connected minute with the rate locked for the campaign, and there are no per-seat charges or platform bills. Every call carries AI disclosure, opt-outs are honored immediately, and DNC requests carry across all campaigns. Clinic pages follow HIPAA-compliant communication standards.
Can AI calling be used for plastic surgery patients legally?
Yes, when it's done right. Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is required before calling. State-specific quiet hours, day restrictions, and registration rules also apply. My AI Call Center builds these requirements into every campaign: AI disclosure on every call, keyword opt-outs like STOP and REVOKE, immediate honoring of opt-out requests, and DNC logs delivered with every campaign. Recording is optional and only happens with disclosure and consent. That said, requirements vary by location, industry, and contact type, so practices are responsible for getting appropriate legal guidance before launch.
Which languages does My AI Call Center support?
Multi-Language Outbound Campaigns are one of the 17 core campaign types, with Spanish being the most common. This makes the service a strong fit for plastic surgery practices in metros with large Spanish-speaking populations like Miami, Houston, San Antonio, San Diego, Phoenix, and Los Angeles. The service currently focuses on North American markets, with operations in the U.S. and Canada.
How much do multi-language outbound campaigns cost?
It depends on the model. My AI Call Center charges from 9 cents per connected minute, tiered by volume, plus a one-time campaign setup and a flat monthly management fee, both quoted before launch. Hugo starts at $11 per hour per human agent with bundled services. Martal Group runs roughly $4,100 to $7,000 per month with a 3-month pilot minimum according to third-party sources. Callbox and Teleperformance don't publish pricing, so you'll need to contact them for quotes. In every case, ask for the full number, including setup fees and minimums, before signing.
What kinds of campaigns work best for plastic surgery practices?
The highest-value outbound campaigns for plastic surgery are usually speed-to-lead follow-up (calling new consult inquiries within minutes inside approved windows), appointment and pre-surgical reminders, lead qualification calls, and win-back campaigns targeting dormant consults from 12 to 24 months ago. Renewal and retention calls also work for practices with membership or maintenance programs. My AI Call Center structures each of these as a campaign with one clear goal, so a reminder campaign never drifts into a sales pitch, and every outcome gets a disposition code routed back to your team.
Do I need to buy or build a contact list first?
You should start with a list you have a real relationship with: past patients, consult inquiries, event attendees, or referral contacts with consent records. My AI Call Center reviews list source and consent records before any campaign launches and will tell you plainly if the list won't support the campaign, before you spend anything. Bought lists without clear permission records are flagged and, in most cases, declined. That discipline protects your practice from TCPA exposure, which in a cash-pay specialty can cost far more than the campaign itself.
How do I know the results are real?
My AI Call Center's reporting policy is simple: they report what actually happened and never invent client logos, testimonials, metrics, or ratings. Every campaign ends with a named outcome report including disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, routed follow-up requests, a completion and coverage report, and opt-out and DNC logs. You also approve the script, disclosure, opt-out handling, and escalation path before anything launches, so nothing goes out that you haven't signed off on.