Comparison · Updated 2026
MedAestheticsOS vs Vagaro
Vagaro is a popular, affordable scheduler for salons and spas. MedAestheticsOS is built for clinics where the work is medical. Here is an honest look at where each one wins.
Short answer
The best Vagaro alternative for medical spas is MedAestheticsOS. Vagaro is an affordable, popular scheduler for salons and spas, but once a clinic starts injecting it lacks a true medical record: no face-mapped injectable charting, no toxin and filler lot/expiry traceability, no Good Faith Exam workflow and no medical-director co-sign queue. MedAestheticsOS keeps online booking, payments and memberships, and adds the clinical record, consents, inventory traceability and native BAA a medical practice needs.
Side by side
| Dimension | MedAestheticsOS | Vagaro |
|---|---|---|
| Built for | Medical spas and aesthetic clinics | Salons, spas and fitness |
| Injectable charting | Face-mapped injectable charting with AI scribe | Not native |
| Lot and expiry tracking | Auto-deducted from the chart with recall traceability | No |
| GFE and medical director | GFE queue and co-sign oversight built in | No |
| BAA | Included on every plan | Limited |
| Pricing | Flat $299 / $699 / $1,900 per month | Per calendar + add-ons |
Why clinics switch from Vagaro
- Salon-first design leaves no real place for medical charting.
- No lot and expiry traceability for Botox and fillers.
- No Good Faith Exam or medical-director oversight workflow.
- Per-calendar pricing and add-ons grow with every provider you hire.
When Vagaro is the better choice
Stay on Vagaro if you run a salon or day spa with no medical services — it is an inexpensive, capable booking tool for that business.
Switching from Vagaro in a weekend
- 1Export your clients, appointment history and services from Vagaro as CSV.
- 2Upload the files in the MedAestheticsOS migration tool — clients are matched and de-duplicated automatically.
- 3Review your services, providers and memberships, then connect online booking.
- 4Run both systems side by side for a few days, then switch over on the date you choose.
Frequently asked questions
Is Vagaro good for a med spa?
Vagaro works for scheduling, but med spas performing injectables or laser treatments usually need a medical record, lot traceability, GFE and medical-director oversight. MedAestheticsOS includes those alongside booking and POS.
Can I migrate my data from Vagaro to MedAestheticsOS?
Yes. Export clients, appointment history, services and inventory from Vagaro as CSV. MedAestheticsOS includes a guided migration tool that maps those files, de-duplicates clients and imports chart history, so most clinics are live within days rather than months.
Is there a contract or setup fee?
No. MedAestheticsOS is month-to-month at $299 (Solo Suite), $699 (Growth Clinic) or $1,900 (White-Label Enterprise), with migration and onboarding included and no per-module add-on tiers.
Does MedAestheticsOS include a signed BAA?
Yes. A native Business Associate Agreement, role-based access control, row-level tenant isolation and an immutable audit trail are included on every plan at no extra cost.
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