Best Medical Spa Software Guide

Last Updated on May 5, 2025 by Ewen Finser

So if you are trying to offer payment plans to your customers for pricier services, send batch marketing messages or updates, or incorporate things like deposit requirements, it’s important to know which medical spa software is best, without compromising cost or HIPAA compliance. 

I will compare Boulevard, Zenoti, Mangomint, Vagaro, and Pabau to see which is the best. 

Best Medical Spa Software At A Glance

Boulevard is the best in terms of its ease of use and customer service. Pabau ranks among the top for payment processing/installments, as well as language/country support. Vagaro is great for newer businesses looking to save money with cheaper baseline services. 

Choice 1: Boulevard – Best for US-based med spas that are scaling and want a fully integrated POS with built-in marketing, ecommerce, and inventory

Boulevard: Modern, sleek, and highly user-friendly, Boulevard offers an all-in-one solution built specifically for med spas that want to scale efficiently without sacrificing user experience.

Features

• POS
• Ecommerce
• Inventory
• Email Marketing
• Online booking
• Team management
• Reporting
• Calendar management

Availability

• U.S. only

Price

• $425/month, everything included

Onboarding

Boulevard offers dedicated onboarding specialists to all of their customers, not just those with the highest tier of membership. These specialists work regularly with customers over the span of 3-4 weeks, dedicating about 15 hours to help complete the transition and the onboarding.

Boulevard and Vagaro have comparatively similar onboarding resources with live seminars and live, in person training options, and this is made even better by the fact that there aren’t unnecessary features added just for show. 

A lot of comparative medical spa software offers an onboarding specialist who may go by any number of names, but they are usually only there for a brief, live introductory setup. Boulevard stands out by offering a specialist to help you throughout the entire transition from your old software to your new software including transferring bank account information and payment setups, as well as inventory. 

Website Support

If you have an existing website, you need medical spa software that supports it, and works well within it. For that, Boulevard is the best when integrating your existing website as well. If you already have a website, you can seamlessly transition and have all of your services like online bookings scheduled directly through that website without launching to a third party location.

Seamless website integration, or intuitive website builder with templates. 

Payment Processing

The best option for all of your payment processing needs is Boulevard. This software charges a higher amount each month but that’s because everything is included extending to invoice generation and manual card entry. So, you don’t have to worry about small, nitpicking fees for every invoice a customer requests, every gift card processing, or manual card entry. 

Boulevard provides integration with many flexible payment options and can process everything in the same dashboard plus, the higher upfront membership fee covers all of these features and services including things like invoice generation after a payment.

User-Friendliness

Boulevard takes the cake though in terms of the simplicity of the user interface and how easy it is to navigate each of the fields. 

By far the easiest and most intuitive interface, with all of the tools you need and nothing superfluous.

Customer Service

Boulevard has intuitive customer service that is available in whatever form you need including telephone, chat, and live support. They are very prompt. 

Accessibility

Boulevard is only in English, and only available in the United States and Canada. 

Marketing

In terms of marketing, Boulevard takes the cake. They have great automations not just for proactive marketing based on loyalty, lost customers, or birthdays but for slow days. If, for example, you have an individual esthetician with 30% or more of their schedule open for the day or the week, you can trigger an automatic email blast to your customers encouraging them to book last minute appointments. The price on this is included in your monthly fee so you don’t have to worry about reaching a cap.

Marketing is included, with lots of customized templates and options for email or texts, with automations and triggers that you can set.

Overall, I’d recommend Boulevard for growing or multi-location med spasthat want ease of use, deep feature sets, and fast team adoption.

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Choice 2: Vagaro– Best for newer med spas who want cheaper baseline services

Vagaro: A modern POS designed with automations in mind, similar to Boulevard in availability and structure, but with fewer features included in the price, ideal for newer med spas looking to keep costs low. 

Features

• Customer management
• Appointment scheduling
• Payroll management
• Marketing 

Availability

• U.S., U.K., and Canada

Price

• $30/month + add-ons

Onboarding

Boulevard and Vagaro are some of the better options when it comes to the onboarding process. This is in large part not just because of the resources available but because of how streamlined and intuitive the dashboards are.

That said, the onboarding process is pretty thorough, with access to webinars and live personnel.

A lot of medical spas use software that have an inordinate number of features but they end up only using about 25% of them. This means they are wasting the other 75% and investing a lot of time with the onboarding process to try and figure out whether they need those other 75%.

Website Support

Vagaro has a website builder system that you can customize, but they only offer basic templates and it can be really difficult to set up with a somewhat confusing interface. 

Payment Processing

The payments are typically processed with the card reader that comes with your membership, but this can be glitchy and if it doesn’t work you have to manually enter card data. Vagaro charges for all manual entries.

User-Friendliness

Colorful interface, but less intuitive than Boulevard with a busy, small text that can be complicated to navigate. The Vagaro interface is fairly simple in its design and looks much like Boulevard, but with a chunkier text font and in many cases a lot of text that is too small, shoved onto the same page. It can actually be quite confusing to manage the high fees or limited functions within the system. 

Vagaro has a lot of live customer service options, but they usually redirect you to links associated with FAQ pages on their website so it can be difficult to get real answers.

Marketing

Vagaro lets you send batches, but they charge you for every email or text; you can pay an additional monthly fee on top of your membership to allow for a certain number of emails or text messages and then after that they charge you for each one. 

Accessibility

Vagaro doesn’t support other languages but is available in the United States, Canada, the United Kingdom, and Australia. 

Recommended for: Med spas with independent contractors and teams who want a focus on cheaper monthly fees and the freedom to add services/features in the future. 

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Choice 3: MangoMint – Best for solo professionals and small/medium med spas with younger, mobile users that want gamified structure

MangoMint: A modern POS designed with automations in mind, perfect for med spas with booth renters or team members working independently. 

Features

• Intelligent waitlists
• Payments routing
• Gamified UI

Availability

• U.S. and Canada

Price

• $245/month + add-ons

Onboarding

Mangomint starts you off with a 30-minute call using an onboarding manager and that’s really to help you import and transition and after that you can continue to use the available resources on their website.

Website Support

Mangomint doesn’t have a website builder. If you are a new medical spa, there are a lot of limits here. 

Payment Processing

Mangomint has easy to manage payment options, but the pricing is high, and if you aren’t careful about the additional features you use, you can price yourself out. 

User-Friendliness

The interface is designed more for a mobile phone so if you aren’t trying to do anything from a legitimate computer, the interface works fine but you still have to contend with a very pastel color that is oddly distracting.

Customer Service

In terms of customer service, Mangomint is arguably the best. They offer round-the-clock customer service that connects you to a live person. Unlike comparative medical spa software representatives, the people you speak to at Mangomint are very knowledgeable, and they don’t redirect you to an article on their website but instead offer legitimate help. 

Marketing

Mangomint has a lot of marketing tools, like targeted emails, automated messages, staff notifications, and these are easy to set up and manage. 

Accessibility

This is only available in one language, in the United States and Canada. 

Recommended for: Independent professionals wanting a no-fuss, low-cost solution.

Choice 4: Zenoti – Best for large med spas, and privacy-focused businesses

Zenoti: An enterprise-level tool with HIPAA compliance, smart automations, and an AI-powered phone system.

Features

• Scheduling
• Memberships
• Gift cards
• Smart marketing
• AI-powered phone

Availability

• 50+ countries

Price

• ~$420/month avg.

Onboarding

The onboarding process is very thorough with a wide range of features and depending on your membership level, a dedicated customer success manager.

Website Support

Zenoti doesn’t have a website builder. What it offers instead is a customizable web store where you can book appointments or purchase products that integrate with an existing platform such as Shopify or Wix. 

Payment Processing

It’s easy to create packages and incorporate gift cards with fast processing.

User-Friendliness

Zenoti offers a drag-and-drop interface where you have more control over arranging things like schedules and online booking. It also allows for electronic invoices and payments, as well as prescription capture and cross-sell options. 

There is very minimal reporting for the home page. As the medical spa employee you can only look back one day, one week, or one month on the main dashboard so if a client hasn’t been in for more than one month you won’t be able to easily see when they last booked an appointment or information like who they booked it with, or what they booked. 

Customer Service

The system can be a little overwhelming but what makes it worse is that Zenoti support takes a long time to reach a resolution and in most cases it seems representatives don’t understand the actual issue to begin with which extends the length of time before something is fixed.

Accessibility

Zenoti has some of the highest reviews for how easy it is to use and that is in large part because they don’t have a lot up front but, if you are looking for minimal reporting data, the user interface is fairly simple. What’s more, they are available across 50 countries with a lot of language support so they are some of the best interfaces for those who have spas in multiple locations.  

Marketing

If you like to send batches, for example the same text to a group of customers after they have received a treatment, Zenoti isn’t built for it; you have to send them individually and that takes a lot of time away from other operations. 

Recommended for: Medical spas or multi-service businesses that need compliance and intelligent systems.

Choice 5: Pabau– Best for med spas that want a cloud-based, all-in-one management solution 

Pabau: A complete system that offers marketing, payments, bookings, and other streamlined management practices for medical spas.

Features

• Appointment scheduling
• Marketing
• Billing
• Client communication
• Record keeping

Availability

• Available in over 20 countries across Asia, Australia, the United States, Middle East South Africa and Europe

Price

• ~$59/month

Onboarding

Their onboarding process starts with sending your medical spa a lot of documents which they upload into the system. You get access to a self-paced Pabau Academy for the process as well as access to technical support after that.

Website Support

Has a website builder but works better when you incorporate tools like the booking platform into your existing website.

Payment Processing

Pabau is the best option if you plan to provide installment or payment plan options for your customers. Pabau sets up invoices and keeps them open for payment plans and payment installations and lets you send invoices with built-in payment links for any of these. 

Pabau has integration Stripe so you can automatically generate payment links if you are sending invoices, process secure payments via credit or debit cards, save a partial payment if a patient decides to pay in installments, and integrate with many other tools.

User-Friendliness

Pabau is a management software that offers integrated payment systems, electronic medical records, online bookings, as well as features like automated pre-care or post-care, and before/after photos. If you are looking to automate your pre-care or aftercare services, Pabau is the winner. They also work well for medical spas that need to save medical records or prescription details, and control things like before and after photos for specific services.

However, there are an overwhelming number of tools and options and this means you’ll need several sessions of onboarding and additional training resources before you can figure it out.

Customer Service

Pabau has pretty reliable customer service and they are there to answer questions whenever you need, without making you wait. 

Marketing

Pabau has basic marketing tools like loyalty programs and email/text marketing. However a lot of their tools require a “Marketing Plus” upgrade to your monthly membership. 

Accessibility

Pabau is available across 40 countries with primary languages to include English, French, Spanish, German, and Italian, but users can change the language within their individual platforms. 

Recommended for: Med spas that want a management software solution with a lot of language and country support.

Conclusion

Overall, I absolutely love the layout and user friendliness of Boulevard. It has everything you need in one place and you actually use everything because all of the tools and built-in features serve a legitimate purpose. That said, it is one of the pricier options today so if you are brand new and looking to save money, Vagaro lets you start with a cheaper baseline and then add each of the features you need a la carte. For any medical spa that wants to prioritize flexible payment options, lots of language and countries, Pabau is the winner.