You’ve heard the whispers:
“The independent dentist is doomed.”
“DSOs are taking over everything.”
“You might as well sell before it’s too late.”
And maybe you’ve even started to believe it.
But let me tell you the truth: independence isn’t dead—it’s under attack. And if you’ve got the guts to fight, you can not only survive in a DSO world… you can thrive.
The Enemy Isn’t the DSO. It’s Complacency.
DSOs are powerful. They have money, marketing machines, and armies of support staff.
But here’s what they don’t have: you.
They don’t have your relationships with patients built over decades. They don’t have your community roots. They don’t have your personal reputation, the trust you’ve earned, the loyalty your patients feel when they walk through your doors.
That’s your advantage. But it only matters if you use it.
The Independent’s Fatal Mistake
Too many private dentists complain about DSOs while doing nothing different. They keep the same sloppy systems. The same tired marketing. The same outdated patient experience.
Then they wonder why patients drift toward the shiny new DSO down the street.
Independence doesn’t protect you from extinction. Adaptation does.
The Independent Dentist’s Battle Plan
If you want to compete—and win—here’s your playbook:
- Out-Relationship Them
DSOs treat patients like numbers. You treat them like people. Double down on that. Learn their kids’ names. Call after big procedures. Make the personal touches DSOs can’t fake.
- Out-Experience Them
Modern patients want convenience. Online scheduling. Text reminders. Financing options. Saturday hours. Upgrade your systems to deliver an experience DSOs can’t match in your market.
- Out-Educate Them
Position yourself as the trusted expert. Speak at community events. Share real patient stories. Publish blogs, newsletters, and social posts that answer the questions patients are already Googling. DSOs don’t educate—they advertise. You can own this lane.
- Out-System Them
Stop running your practice on chaos and personality. Build lean, documented systems. Efficient hygiene. Smooth billing. Automated follow-up. The less you depend on “heroics,” the more competitive you become.
- Out-Culture Them
Your team isn’t just staff—they’re warriors on your frontline. Train them. Inspire them. Build a culture where patients feel cared for the moment they walk in. DSOs churn staff; you can retain and empower yours.
Why This Fight Matters
Every independent dentist has a choice. You can bow your head, complain about DSOs, and fade quietly into irrelevance.
Or you can raise your flag, sharpen your weapons, and fight for your independence.
Your patients want you to win. Your team wants you to win. Your community wants you to win.
But none of them will fight the battle for you.
The Brutal Bottom Line
Independence isn’t a guarantee. It’s a privilege. And if you want to keep it, you have to fight smarter, harder, and with more focus than ever before.
Yes, DSOs are here. Yes, they’re powerful. But they’re not unbeatable.
Not if you’re willing to adapt. Not if you’re willing to play the game with the heart, grit, and determination that made you a dentist in the first place.
This is your moment. Fight for your freedom.
To your unstoppable success,
Your Team at Everything DSO