There's a conversation you're avoiding. You know exactly which one. And it's costing you tens of thousands of dollars.
The team problem you're frustrated about usually started with a conversation you didn't have. Most owners are leading for the first time, and the standards they care about only live in their heads. Write down what great looks like, say it out loud, and have the uncomfortable conversation early. Avoiding it doesn't keep the peace. It costs you revenue.
You already know which conversation it is.
Picture the person. You just thought of them, didn't you?
Maybe they roll in late and shrug it off. Maybe they do the bare minimum and call it done. Maybe they push back on every change, or act like the place belongs to them. And every single time, you feel that little pull in your stomach. You roll your eyes. You tell yourself, "Whatever, it's not worth it." And you move on to the next thing.
Here's what that looks like a year later:
- A team member who thinks they own the place
- A sense of entitlement you didn't create on purpose, but definitely allowed
- Someone who isn't pulling their weight
- And you, still doing everything yourself, even though you hired help
You didn't hire help so you could be frustrated in a bigger team. You hired help to get your time back and make more money, and right now, you're not getting it.
How a team member ends up running the show
Nobody sets out to build a team that walks all over them. It happens slowly. Usually in three steps.
You let the small stuff slide.
It's one late arrival. One sloppy outfit. One half assed consult. One comment in the treatment room that made you wince. Calling it out feels awkward, and honestly, you're busy. So you let it go.
The small stuff becomes the standard.
Here's the part nobody tells you. Whatever you tolerate becomes the standard. Not what's in your head. Not what's in the handbook. What you tolerate. Your team is watching, and they learn exactly where the line is by what you don't say.
You end up right back where you started.
Now you've got someone who's comfortable, maybe a little entitled, and you're quietly doing the work yourself because it's faster and easier than the conversation. You hired help and you're still in the same position. Same hours. More payroll.
The expectations only you can see
Let's get to the real root of it. Most of you are leading for the very first time. You've never run a business before. You've never truly led a team, let alone built a culture.
So the standards you hold for yourself, how you show up, how you follow up, how you treat a client, what excellence looks like, all of that lives in your head. They're invisible expectations. And you're hoping your team figures them out one day.
Guess what? They won't.
You started without a clear picture.
Most owners hire without a vision for the role, an outline for onboarding, or a definition of what success looks like in their business. You needed help, fast, so you brought someone in and hoped for the best.
You assumed credentials meant they'd get it.
You've always been able to do it yourself. So when you hire someone who is a professional and highly credentialed, you assume they see what you see. They don't. And honestly, if they did, they'd have their own business.
That's not an insult. It's just true. Being great at the treatment and thinking like an owner are two different skills. I get into that in The Truth Nobody Tells You About Owning a Med Spa.
So the conversation has to happen.
Nobody can hit a target they've never seen. Which means the uncomfortable conversation isn't optional. It's the onboarding you never got to.
What avoiding it is costing you
Let's talk money, because that's what gets everyone's attention.
- Your time. You're doing the work you hired someone else to do.
- Your margin. You're paying full payroll for output you're not getting.
- Your best people. Your strong team members watch you tolerate it, and they start wondering why they bother.
- Your growth. You can't scale a business with a team you don't trust to run it.
"But I don't have the clients." Fair. Keep the same 15 clients and get their average spend to $800. That's $12,000 a month, an extra $69,300 a year, with no new leads.
Your job isn't to wait and see. It's to set the standard and have the conversation.
Illustrative numbers as an example.
I see this every single week. The conversation you're not willing to have is often the thing standing between you and your next level of revenue.
How to have the conversation (without it turning into a fight)
It doesn't need to be dramatic. It needs to be clear, kind, and soon.
1. Get clear on the standard first.
Before you say a word, know exactly what you expect. Not "a better attitude." Specifics. Arrive 15 minutes before the first appointment. Build a treatment plan in every consult. Rebook before checkout. If you can't describe it, you can't hold anyone to it.
2. Say it early and say it plainly.
Don't wait for the third time or the blowup. The longer you wait, the more resentment you carry and the harder it gets. Pull them aside, in private, and be direct.
3. Talk about the behavior, not their character.
"You're lazy" goes nowhere. "Three of your last five consults didn't end with a treatment plan" gives them something to fix.
4. Agree on what changes and by when.
End with a clear next step and a date. Ask them to say it back to you so you know it landed. Then write it down.
5. Follow up.
One conversation isn't a culture. Check in. When you see the improvement, say so out loud. And if nothing changes, you have a different conversation to have. It's still better than the silence.
If it's heading toward a formal warning or letting someone go, loop in an HR advisor or employment attorney first and document everything. Rules vary by state and country, and I'm not a lawyer.
Holding the standard is not being mean.
I know you want to be liked. I get it. You built this place because you care about people. But here's the reframe: clarity is kind. Leaving someone in the dark about how they're doing isn't kindness. It's avoidance dressed up as niceness.
The team member who never hears the truth can't improve. Your strong people can't trust the culture. And you can't grow.
You're not mean for holding the standard. You're the owner. That's the job.
And if you've been avoiding this for months, or years, that's okay. You didn't know how. Now you do. Go have the conversation.
Frequently asked questions
How do I talk to an underperforming employee at my med spa?
Meet privately and be specific. Name the behavior you've observed, explain the standard you need instead, describe why it matters to clients and the business, and agree on what will change and by when. Write down the agreement and follow up on the date you set.
Why do I avoid difficult conversations with my team?
Most owners avoid them because they're leading for the first time, they want to be liked, and they fear conflict or losing a team member. The avoidance usually costs more than the conversation would have, because small issues grow into culture problems and extra work lands on the owner.
How do I set clear expectations for new hires at a med spa?
Define what success looks like for the role before you hire. Write down the standards for client experience, consultations, rebooking, and teamwork, review them on day one, and check in weekly during the first 90 days. Expectations that only live in the owner's head can't be met.
What do I do when a top producer has a bad attitude?
Treat it like any other standard. High revenue doesn't cancel the cost of poor behavior on the team and culture. Address it directly, tie it to specific behaviors, and set clear expectations for change. If it continues, weigh the revenue against the damage to your team's morale and retention.
How do I stop employees from taking advantage of me as an owner?
Set clear standards, address small issues early, and apply the same rules to everyone. Employees take their cues from what the owner tolerates, so consistent, calm follow through does more than any policy.
When should a med spa owner let an employee go?
Typically after clear expectations were set, support was offered, and the behavior still didn't change. Document each conversation and speak with an HR advisor or employment attorney before acting, since requirements vary by location.
How do I build a strong team culture in a med spa?
Culture is the standard you set and the behavior you tolerate. Define your values in concrete behaviors, onboard new hires against them, recognize people who live them, and address anything that contradicts them quickly and consistently.
Ready to lead the team you actually want?
If you read this and a name popped into your head, good. Now you know where to start.
Inside our programs we work on the leadership side of the business: setting standards, onboarding, having the hard conversations, and building a team that performs without you hovering. So you stop doing everything yourself, and start leading.
The conversation won't get easier by waiting. But it will get a lot cheaper to have.

