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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 pay only Zenoti. They add Podium or a similar AI texting tool, a separate CRM, and a payment processor that takes a cut of every transaction. Decoda is one platform on one bill.
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, so 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