Two Spouts
Vertical SaaS (MedTech) · 4-month engagement

US-only to US + UK + AU in 4 months, 35% of pipeline from new markets

Strong unit economics in the US, board wanted English-speaking expansion. Most agencies would have lifted the US campaigns wholesale; instead we treated each market as a separate buyer with localised LPs, audiences and conversion paths.

Markets live

31

Improved

Pipeline from non-US

35%0%

Improved

Blended CAC

$550$640

Improved

Pipeline vs. projection

2.3×1.0×

Improved

Starting state

Where the account was before we touched it.

The team had nailed product-market fit in the US — practice-management software for independent veterinary clinics — with a blended CAC of $640 and 22-month payback. They had no international presence and no Google Ads outside the US, but their board wanted to validate UK and AU as growth markets within 6 months. They'd budgeted $200k of paid for the expansion experiment. The risk: most agencies would copy US campaigns to UK + AU with GBP/AUD bid adjustments and call it done, which historically delivers ~4× higher CAC than native local campaigns.

The plan

What we shipped, sprint by sprint.

  1. Sprint 1Month 1

    Market-research-driven keyword discovery

    Interviewed two UK and two AU vet practices (not paid customers) for terminology differences. "Practice management" tested differently than US "practice management"; UK vets used "vet software" and "PMS" interchangeably. AU used "clinic management software" most. Built region-specific keyword sets that diverged ~40% from the US list.

  2. Sprint 2Month 2

    Localised landing pages

    Three LP variants per market: hero, currency, trust signals (Royal College of Veterinary Surgeons in UK, AVA in AU), pricing in local currency, GST/VAT clarity. Each variant linked to a region-specific demo booking flow.

  3. Sprint 3Month 3

    Country-specific RLSA + lookalike audiences

    Built first-party audiences from US converters and exported them as UK + AU lookalikes. Layered RLSA on the long-tail keywords to capture comparison-shoppers without burning budget on cold traffic.

  4. Sprint 4Month 4

    Cross-market reporting + budget reallocation

    Set up a single Looker dashboard with side-by-side market metrics so the board could see CAC + pipeline by region. UK was outperforming US on CAC ($510 vs $640) by month 4; reallocated 30% of US budget into UK.

Outcome

Where the account ended up.

By end of engagement, UK and AU markets combined contributed 35% of total pipeline at a blended CAC ($550) below the US baseline ($640). The original $200k expansion budget delivered 2.3× the projected pipeline. The board approved doubling UK budget and bringing AU to parity in Q2. The localisation framework — keyword discovery, LP variants, region-specific trust signals — became the template for the team's next two markets (Canada and Ireland).

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SaaS, B2B and finance specialist with 6+ years on Google Ads.
Audits, account management, landing pages, analytics.
200+ SaaS accounts worked on. Real data, not vibes.