How to add orthobiologics to your practice.
An independent roadmap to incorporating orthobiologics into a sports-medicine or orthopedic practice — from confirming readiness to your first live cases. Written by the team that runs an active orthobiologics clinic and research center every day.
What you'll be offering: PRP, prolotherapy, BMAC & mFAT.
Before the build, it helps to know the procedures themselves. All four use the patient's own biology and are delivered at the point of care — and a practice can offer any combination. It's your choice.
Platelet-rich plasma
A small blood draw is spun in a centrifuge to concentrate the patient's own platelets, then injected to support healing in tendons, ligaments, and joints.
Prolotherapy
A series of targeted injections that prompt the body's own repair response in worn or lax ligaments and tendons — no donor material, just the patient's own healing.
Bone marrow aspirate concentrate
Cells are drawn from the patient's own bone marrow and concentrated, then injected to support repair in joints and soft tissue where more regenerative capacity is needed.
Microfragmented adipose tissue
The patient's own fat, gently microfragmented and injected as a living scaffold rich in regenerative cells — most often paired with BMAC.
All four are on the table — it's your practice's call. We build the capability; which treatments you run is always your decision. Explore the treatments in full.
Seven areas, one sequenced path.
Adding orthobiologics is not a single decision — it's seven coordinated workstreams that have to fit your real space, staff, and patient base. We lead with the economics that justify the move, then walk the path in sequence — each section linking to the deeper page where we cover it in full.
Economics
Orthobiologics is a cash-pay service line collected at the point of care, which changes the math. As one illustrative, deliberately conservative scenario, a first-year model might generate on the order of $285,600 in new annual revenue — but this is an example for context, not a projection or guarantee. Actual results vary with patient demand, pricing, and how quickly you ramp. The investment itself varies by clinic, scoped to the infrastructure you already have and what you still need to build.
See the full cost & ROI breakdownIs your practice ready?
Readiness is less about size and more about fit: the physician's clinical background, the patient base that would actually use these treatments, the available procedure and lab space, staffing, and any existing imaging capability. The honest way to find out is an Orthobiologics Readiness Assessment — an on-site evaluation that produces a written Playbook: where you stand, the gaps to close, your realistic revenue potential, and a sequenced path to launch, followed by a Decision Meeting on whether to proceed.
See how the assessment worksFacility and sterile field
The procedure room and the laboratory are two distinct environments with different requirements, and both have to protect the sterile field. That means physical design decisions — patient flow, treatment positioning, benchtop and equipment placement — and validated environmental conditions: air pressure differentials, temperature, humidity, and particle counts, with HVAC and filtration recommendations and an ongoing monitoring plan with log templates.
Why the build-out is a real barrierEquipment
Equipment is driven by your procedure mix, patient volume, and staffing model — not a one-size catalog. The core categories are centrifuge selection (by speed, cycle profile, and yield characteristics for each procedure type), procedure kits and consumables, benchtop laboratory instrumentation, and ancillary supplies. Image guidance isn't required but is valuable where a practice already has ultrasound experience. The differentiator worth insisting on is independence: equipment should be selected by people who don't sell hardware.
How equipment is specced & sourcedSOPs and compliance
A functioning program runs on documentation. A full engagement typically produces a library of 40 to 55 SOPs and forms built from scratch and customized to your procedures, space, and staffing — spanning safety and facilities (cleaning and disinfection, environmental monitoring, spill response, equipment maintenance, access controls) and clinical procedures (room setup, patient prep and consent, sample harvest, processing and quality control, treatment delivery, post-procedure care). Documents go through collaborative revision and a final clinical review before delivery.
The protocols & SOP workstreamTraining
Training happens with real patients and samples in an active clinic — not a simulation — under direct supervision, typically across about five days that scale with your procedure mix. It follows a structured competency progression with a gate at each stage: theoretical foundation, observing patient engagement, observing treatment processing, then hands-on processing using excess biological sample. Arriving prepared, with the science and safety framework already read, makes the in-person time far more productive.
Meet the clinical team behind the trainingTimeline
The coordinated implementation build runs about three months to go-live, preceded by a standalone, roughly one-month Readiness Assessment and Playbook. The build runs the facility, equipment, SOP, training, and operations workstreams in parallel and stays with you through your first live cases. The choice to continue stays yours at every gate.
Walk the two-phase engagementAdding orthobiologics, answered directly.
How do I add orthobiologics to my practice?
Work through seven areas in order: confirm readiness, design a compliant facility and sterile field, select equipment sized to your procedure mix, build a customized SOP and compliance library, train on live cases, model the economics, and sequence a realistic timeline. Most independent practices reach go-live in about three months of implementation — without joining a franchise or network.
How long does it take to add orthobiologics?
The coordinated implementation runs about three months to go-live, covering facility, equipment, SOPs, training, and your first live cases. A standalone, roughly one-month Readiness Assessment and written Playbook comes first.
Do I need a network or franchise to offer orthobiologics?
No. A practice can build and own an independent program under its own name — no franchise fees, no protocol lock-in, no brand dependency. See how the independent path compares to courses, networks, and franchises.
What's the first step to incorporating orthobiologics?
An Orthobiologics Readiness Assessment — an on-site evaluation that produces a written Playbook on where you stand, your revenue potential, and the path to launch. You can act on the Playbook yourself or continue into a full implementation.
Start with an Orthobiologics Readiness Assessment.
A short discovery call first — no obligation. We'll be honest about what your practice realistically needs to add orthobiologics well.
Book a discovery call →