Why 25 customers are enough.

Discover how 25 loyal customers can drive a profitable orthopedic startup with deep relationships, low expenses, and sustainable success.

What if I told you that success for your startup doesn’t require competing with the big orthos on their terms with their well-oiled systems of service, inventory management, training and marketing? What if all you needed were 25 loyal customers to build a profitable and defendable business in an orthopedic niche? For niche examples, think market segments like F/A soft tissue repair (Artelon) or 2-stage joint revisions (OsteoRemedies) or patella fracture repair (Endeavor Orthopedics) or single-use endoscopes (Pristine Surgical) or real-time monitoring of compartment syndrone with a disposable (IMY01). I could go on and on here with niche examples, but you know these types of ortho companies. This idea isn’t as far-fetched as it seems.

How the Math Works You have developed a specialized implant or instrument that solves a real problem for both surgeons and healthcare providers. Terrific! It saves them time, saves them labor, enables hospitals/ASCs to do more cases with better outcomes. You price it competitively, and your new customers see the...


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