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Comparison
Zenoti serves 30,000+ businesses across beauty, wellness, and fitness — but only 5–10% are medspas. Their product roadmap is driven by salons, barbershops, and gyms. Decoda was built from day one exclusively for medical aesthetics.
Follow-up booked
Sarah K. · Jun 11 · 2:00 PM
Wed · Apr 30
$4,280 booked
8 appointments
8:00
AM
Sarah K.
Tox · 40U
9:30
AM
Maya R.
Lip filler · Juvéderm
12 min in
10:15
AM
Jordan T.
Hydrafacial Deluxe
Repeat · 4th visit
12:30
PM
Alex P.
Consult · Skin
2:00
PM
Riley H.
Tox + filler · package
Sarah’s note is ready
AIAuto-saved with treatment map · 6-wk follow-up queued
“With Zenoti we were kind of forced into their box. With Decoda we kind of had the freedom to explore and try new things.”
Chris Granados
Operations & IT · A Fresh Face Aesthetics
30–60 min
Saved per nurse / day
99%
Charting via AI scribe
100 → 2
Sticky notes on her desk
Head-to-Head
“Patient received 20 units of Tox in the glabella and 15 units in the frontalis. Patient reported good results from previous treatment 4 months ago.”
AI-Native
Decoda was built AI-native from the ground up for medical aesthetics — our AI scribe understands injection mapping, consult workflows, and clinical terminology. Not bolted onto a system originally built for barbershops, salons, and gyms.
Built For Medspas
In Zenoti, a treatment note is just appointment text. In Decoda, every treatment is structured — injection zones, unit counts, before/after photos, and consent are native to the patient record. Built for medical aesthetics, not haircuts.
“We’re medical, but we have to use a spa platform.”
— Medspa owner, on a salon-built incumbent
“Our whole life is aesthetics and luxury, and it just feels a little, like, computer-y.”
— Medspa owner, switching from Zenoti
Sarah K.
Returning · Last visit 12 weeks ago

Total Cost
Practices on Zenoti rarely just pay Zenoti — they layer on Podium or a similar AI texting tool, a separate CRM, and a payment processor that takes a cut on every transaction. Decoda is one platform, one bill, no add-ons required.
Implementation
Zenoti’s typical onboarding takes 4–6 weeks of conference calls — and switching practices report things still aren’t set up correctly at launch. Decoda gets you live in days with a dedicated onboarding manager and free, white-glove data migration.
Quick one — how do I refund a deposit if a patient reschedules?
Hey! Easy — Bookings → the appointment → Refund deposit. Want me to send a 30-sec walkthrough?
Yes please 🙏
Customer Service
Zenoti’s support is offshore and ticket-based — 9 AM questions get 3 AM answers, and simple requests stretch into weeks. Decoda gives you a named, US-based success rep on phone, video, and chat, with response times measured in minutes.
“Offshore — we get 3 a.m. responses to 9 a.m. questions.”
— Operations lead, current Zenoti customer