Chapter 23: Beware of Selling to a DSO

Why Selling to a DSO Isn’t Worth It

Selling to a DSO might seem like an easy exit, but it comes with serious consequences.

Processes and decisions move painfully slow—what took you a day to decide now takes weeks or months.
Marketing collapses, leading to fewer patients, lower revenue, and broken financial promises.
Office culture deteriorates, with high turnover, disengaged staff, and unhappy patients.

Unless you are ready to retire and walk away completely, selling to a DSO is not the right move. If you’re still passionate about your practice and want to maintain control, quality, and profitability, keeping ownership is the best decision for long-term success.