Digital monopoly in the USA: How to take TOP-1 and TOP-2 in the medical niche through Trustpilot

Introductory data

Region: USA (Tier-1).
Niche: Medical services / HealthTech.
Period: March – May 2026.
Task: To form a “sterile” reputation from scratch, stop the outflow of “cold” traffic and give Google a powerful signal of trust for ranking in the YMYL segment.
Result: 100% traffic from the USA. Monopoly in the search results for branded queries. Growth of organic traffic to the Trustpilot page up to 70+ targeted visits per month.

Description of the problem

March 2026. When launching a medical project in the USA, the client faced a “reputational barrier”. The American consumer does not make a decision about treatment or the purchase of medical services without checking reviews.

Situation “BEFORE”:

• Zeroing of conversion: Users moved from advertising or search to the site, left to Google to check “Brand + reviews”, saw an empty Trustpilot page and did not return. The marketing budget was drained at the stage of final verification.
• E-E-A-T deficit: For medical sites, Google requires confirmed authority. The absence of external trust signals hindered the growth of the main domain.
• Risk of negativity: An empty field in the search results is a vacant place that could be taken at any moment by aggregator sites with negative reviews from competitors.

Set tasks

1. Creation of a “Reputation shield”: To take position #2 in the search results immediately after the main site.
2. Capture of branded intent: To optimize the profile for the queries “Brand + reviews”, “Brand legit”.
3. 100% localization: To exclude the presence of reviews from other GEOs, focusing only on the USA.
4. Conversion increase: To make the Trustpilot page a “warm-up” stage, after which the user returns to the site ready for a deal.

Solution and Process

The Buylink.pro team implemented a strategy of native medical presence, where working with Trustpilot became part of the overall SEO engine.

Stage 1: Formation of an expert feed

We abandoned typical reviews. The texts were written taking into account medical specificity: an emphasis on the professionalism of the staff, the cleanliness of the protocols and attention to detail. Each review looked like a real patient story, which excluded suspicions from moderators and users.

Stage 2: Technical SEO of the profile

So that the Trustpilot page did not just hang on the network, but brought traffic, we introduced LSI keywords into the review texts. This allowed the page to rank for 24 keywords, among which 9 are purely branded.

Stage 3: Geo-filtration

Medicine in the USA is a local story. We used only clean residential USA proxies and accounts with an appropriate history.

Results

Analytics data confirms the effectiveness of the chosen strategy:

• Traffic: Stable growth from zero to 70+ visits per month. These are users who were looking for exactly this brand.
• Keywords: The page consolidated on 24 keywords.
  • Branded: 9 keys (capture of the first page of search results).
  • Informational: 12 keys (attracting those who still doubt).
• Monopoly in search results: Now, upon a brand query, the user sees two links leading to the company’s resources. This cuts off competitors and closes the issue of trust by 100%.
• Signal for Google: The appearance of an active, “live” profile on Trustpilot gave a boost to the main site within the framework of YMYL algorithm updates.

Review of the company representative

“In USA medicine, without a reputation, you do not exist. We saw how people enter the site and leave to ‘check’ us. Buylink.pro created for us that very ‘sterile’ zone of trust. When a client sees our site in the first place, and our stars on Trustpilot in the second – he returns and buys. 70 people a month who came from reviews are the most loyal clients we have.”

For medical and YMYL projects, reputation is not just reviews, it is a technical ranking parameter. Professional ORM allows turning third-party platforms into powerful sales tools.

Is your brand losing clients at the stage of checking reviews?

Do not allow an empty profile or negativity to destroy your marketing budget.

Order an audit and capture your TOP-10 right now!